JOSEPH P HICKEY Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****37

License Status

NOT RENEWED

Business

First Name

JOSEPH

Middle

Last Name

HICKEY

Business Name

JOSEPH P HICKEY

Original Issue Date

07/12/2004

Effective Date

04/19/2018

Expiration Date

09/30/2020

City

HENDERSON

State

Zip

89002

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021