NICOLE D TABLACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041395613

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

TABLACK

Business Name

NICOLE D TABLACK

Original Issue Date

08/17/2011

Effective Date

08/17/2011

Expiration Date

05/31/2012

City

YOUNGSTOWN

State

Zip

44505

County

OHIO

Ever Disciplined

LastModifiedDate

07/10/2012