HEATHER R HOMICK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****17

License Status

ACTIVE

Business

First Name

HEATHER

Middle

Last Name

HOMICK

Business Name

HEATHER R HOMICK

Original Issue Date

08/08/2025

Effective Date

08/08/2025

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61102

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/02/2026