ERICA NICOLE SACK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****68

License Status

ACTIVE

Business

First Name

ERICA

Middle

NICOLE

Last Name

SACK

Business Name

ERICA NICOLE SACK

Original Issue Date

09/28/2021

Effective Date

03/07/2024

Expiration Date

05/31/2026

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026