VICKIE JOANN CARLL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****84

License Status

ACTIVE

Business

First Name

VICKIE JOANN

Last Name

CARLL

Business Name

VICKIE JOANN CARLL

Original Issue Date

04/26/2007

Effective Date

06/12/2024

Expiration Date

05/31/2026

City

GODFREY

State

Zip

62035

County

JEFFERSON

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/02/2026