VICKI A BACIDORE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****59

License Status

ACTIVE

Business

First Name

VICKI

Middle

Last Name

BACIDORE

Business Name

VICKI A BACIDORE

Original Issue Date

12/07/2006

Effective Date

03/21/2024

Expiration Date

05/31/2026

City

WESTCHESTER

State

Zip

60154

County

DUPAGE

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/02/2026