NIKKI-DIANE MAE AMBORN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041308445

License Status

NOT RENEWED

Business

First Name

NIKKI-DIANE

Middle

MAE

Last Name

AMBORN

Business Name

NIKKI-DIANE MAE AMBORN

Original Issue Date

04/02/1998

Effective Date

04/02/1998

Expiration Date

05/31/2006

City

MILWAUKEE

State

Zip

53212

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006