AMBER MARIE VICARY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****71

License Status

ACTIVE

Business

First Name

AMBER

Middle

MARIE

Last Name

VICARY

Business Name

AMBER MARIE VICARY

Original Issue Date

12/04/2025

Effective Date

12/04/2025

Expiration Date

05/31/2026

City

ROANOKE

State

Zip

61561

County

WOODFORD

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026