CAROL ANN DICKERSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****71

License Status

NOT RENEWED

Business

First Name

CAROL

Middle

ANN

Last Name

DICKERSON

Business Name

CAROL ANN DICKERSON

Original Issue Date

09/08/2008

Effective Date

03/01/2018

Expiration Date

09/30/2020

City

WOODRIVER

State

Zip

62095

County

WHITESIDE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021