LAURA A HICKENBOTTOM Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209014221

License Status

ACTIVE

Business

First Name

LAURA

Middle

Last Name

HICKENBOTTOM

Business Name

LAURA A HICKENBOTTOM

Original Issue Date

04/06/2016

Effective Date

05/28/2024

Expiration Date

05/31/2026

City

TEUTOPOLIS

State

Zip

62467

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

03/02/2026