KATHERINE ELYSE HICKEY Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****17

License Status

INACTIVE

Business

First Name

KATHERINE

Middle

ELYSE

Last Name

HICKEY

Business Name

KATHERINE ELYSE HICKEY

Original Issue Date

04/02/2021

Effective Date

04/02/2021

Expiration Date

08/31/2022

City

ELMHURST

State

Zip

60126

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/06/2022