NIKYLA LEE BILDERBACK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****91

License Status

ACTIVE

Business

First Name

NIKYLA

Middle

LEE

Last Name

BILDERBACK

Business Name

NIKYLA LEE BILDERBACK

Original Issue Date

04/29/2024

Effective Date

04/29/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61114

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026