NICHOLE NORMA SCIACCOTTA Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****99

License Status

NOT RENEWED

Business

First Name

NICHOLE

Middle

NORMA

Last Name

SCIACCOTTA

Business Name

NICHOLE NORMA SCIACCOTTA

Original Issue Date

10/23/2023

Effective Date

10/23/2023

Expiration Date

06/30/2024

City

MCHENRY

State

Zip

60050

County

MCHENRY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025