MELINDA S HICKEY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****28

License Status

ACTIVE

Business

First Name

MELINDA

Middle

Last Name

HICKEY

Business Name

MELINDA S HICKEY

Original Issue Date

04/28/2025

Effective Date

04/28/2025

Expiration Date

05/31/2026

City

PEORIA

State

Zip

61636

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026