DORY A MICKNA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209025883

License Status

ACTIVE

Business

First Name

DORY

Middle

Last Name

MICKNA

Business Name

DORY A MICKNA

Original Issue Date

09/01/2022

Effective Date

04/10/2024

Expiration Date

05/31/2026

City

TREMONT

State

Zip

61568

County

TAZEWELL

Ever Disciplined

LastModifiedDate

03/02/2026