| Name | NATALIE E NICKLES |
| City/State |
| License and Registration Information | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Credential | License Type | Original Issue | Issue Date | Expiration Date | Status | Discipline | How issued | Description | |||||||
| CHW.00307- | Community Health Worker | 06/16/2015 | 06/16/2015 | 03/31/2017 | ACTIVE | ||||||||||