STEPHANIE WICKMAN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209012707

License Status

INACTIVE

Business

First Name

STEPHANIE

Last Name

WICKMAN

Business Name

STEPHANIE WICKMAN

Original Issue Date

03/31/2015

Effective Date

03/16/2016

Expiration Date

05/31/2018

City

PRAIRIE GROVE

State

Zip

60012

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/26/2016