CAROLYN ANN DICKENS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****52

License Status

INACTIVE

Business

First Name

CAROLYN

Middle

ANN

Last Name

DICKENS

Business Name

CAROLYN ANN DICKENS

Original Issue Date

10/22/2001

Effective Date

06/09/2022

Expiration Date

05/31/2024

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

03/31/2023