KIRSTEN ANNE DICKINS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****76

License Status

NOT RENEWED

Business

First Name

KIRSTEN

Middle

ANNE

Last Name

DICKINS

Business Name

KIRSTEN ANNE DICKINS

Original Issue Date

12/07/2016

Effective Date

05/21/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60637

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021