MARLA JO VANVICKLE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209021926

License Status

INACTIVE

Business

First Name

MARLA

Middle

Last Name

VANVICKLE

Business Name

MARLA JO VANVICKLE

Original Issue Date

09/01/2020

Effective Date

04/26/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/05/2025