PRISCILLA A HETRICK Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****45

License Status

NOT RENEWED

Business

First Name

PRISCILLA

Middle

Last Name

HETRICK

Business Name

PRISCILLA A HETRICK

Original Issue Date

10/16/2018

Effective Date

10/16/2018

Expiration Date

09/30/2020

City

DANVILLE

State

Zip

61832

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/12/2023