VICKI HART FOTI Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****87

License Status

INACTIVE

Business

First Name

VICKI

Middle

HART

Last Name

FOTI

Business Name

VICKI HART FOTI

Original Issue Date

12/29/2016

Effective Date

09/02/2020

Expiration Date

08/31/2022

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/30/2022