LISA B HICKMAN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****48

License Status

ACTIVE

Business

First Name

LISA

Middle

Last Name

HICKMAN

Business Name

LISA B HICKMAN

Original Issue Date

12/18/2023

Effective Date

05/04/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61107

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026