SAMANTHA NICOLE LILLICO Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209022723

License Status

ACTIVE

Business

First Name

SAMANTHA

Middle

NICOLE

Last Name

LILLICO

Business Name

SAMANTHA NICOLE LILLICO

Original Issue Date

01/19/2021

Effective Date

05/16/2024

Expiration Date

05/31/2026

City

O FALLON

State

Zip

63366

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

03/02/2026