CHRISTINE M PALICKE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****49

License Status

NOT RENEWED

Business

First Name

CHRISTINE

Middle

Last Name

PALICKE

Business Name

CHRISTINE M PALICKE

Original Issue Date

06/12/2009

Effective Date

04/22/2018

Expiration Date

09/30/2020

City

DYER

State

Zip

46311

County

INDIANA

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021