CARRIE A CULLICK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****21

License Status

ACTIVE

Business

First Name

CARRIE A

Last Name

CULLICK

Business Name

CARRIE A CULLICK

Original Issue Date

10/12/2016

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

DWIGHT

State

Zip

60420

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/04/2026