SAMANTHA NICOLE LILLICO - Advanced Practice Nurse License in Missouri | # 209022723

SAMANTHA NICOLE LILLICO

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209022723

License Status

ACTIVE

Business

N

First Name

SAMANTHA

Middle

NICOLE

Last Name

LILLICO

Business Name

SAMANTHA NICOLE LILLICO

Original Issue Date

01/19/2021

Effective Date

04/07/2026

Expiration Date

05/31/2028

State

MO

Specialty/Qualifier

MASTERS

Ever Disciplined

N

LastModifiedDate

04/07/2026