CARLY ROSE WIRICK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209033191

License Status

ACTIVE

Business

First Name

CARLY

Middle

ROSE

Last Name

WIRICK

Business Name

CARLY ROSE WIRICK

Original Issue Date

09/10/2025

Effective Date

09/10/2025

Expiration Date

05/31/2026

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

03/02/2026