MARCIA SUE MICKLE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****54

License Status

NOT RENEWED

Business

First Name

MARCIA

Middle

SUE

Last Name

MICKLE

Business Name

MARCIA SUE MICKLE

Original Issue Date

01/02/2003

Effective Date

04/10/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021