NICOLE SUZANNE VAN DER BOSCH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041472349

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

SUZANNE

Last Name

VAN DER BOSCH

Business Name

NICOLE SUZANNE VAN DER BOSCH

Original Issue Date

11/08/2018

Effective Date

09/24/2020

Expiration Date

08/31/2022

City

OAK CREEK

State

Zip

53154

Ever Disciplined

LastModifiedDate

10/14/2022