ANNA DICICCO Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****76

License Status

ACTIVE

Business

First Name

ANNA

Last Name

DICICCO

Business Name

ANNA DICICCO

Original Issue Date

12/21/2022

Effective Date

04/20/2024

Expiration Date

05/31/2026

City

DEKALB

State

Zip

60115

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026