VICKI L WYATT Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****65

License Status

ACTIVE

Business

First Name

VICKI

Middle

Last Name

WYATT

Business Name

VICKI L WYATT

Original Issue Date

12/11/2024

Effective Date

12/11/2024

Expiration Date

05/31/2026

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026