ROBERT T WIRICK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****10

License Status

ACTIVE

Business

First Name

ROBERT

Middle

Last Name

WIRICK

Business Name

ROBERT T WIRICK

Original Issue Date

05/06/2023

Effective Date

04/12/2024

Expiration Date

05/31/2026

City

MOKENA

State

Zip

60448

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026