LAURA R DICKERSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****50

License Status

ACTIVE

Business

First Name

LAURA

Middle

Last Name

DICKERSON

Business Name

LAURA R DICKERSON

BusinessDBA

LAURA MILES

Original Issue Date

12/12/2022

Effective Date

03/20/2024

Expiration Date

05/31/2026

City

BYRON

State

Zip

61010

County

OGLE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026