CARLY ROSE WIRICK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****00

License Status

ACTIVE

Business

First Name

CARLY

Middle

ROSE

Last Name

WIRICK

Business Name

CARLY ROSE WIRICK

Original Issue Date

10/16/2025

Effective Date

10/16/2025

Expiration Date

05/31/2026

City

CARBONDALE

State

Zip

62901

County

JACKSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026