ANNA L CICCIARELLI Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****01

License Status

ACTIVE

Business

First Name

ANNA

Middle

Last Name

CICCIARELLI

Business Name

ANNA L CICCIARELLI

Original Issue Date

11/28/2012

Effective Date

03/05/2026

Expiration Date

05/31/2028

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/05/2026