TERRI L HICOK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****82

License Status

ACTIVE

Business

First Name

TERRI

Middle

Last Name

HICOK

Business Name

TERRI L HICOK

Original Issue Date

02/07/2017

Effective Date

07/03/2024

Expiration Date

05/31/2026

City

CANTON

State

Zip

61520

County

FULTON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026