JACQUELINE M HICKAM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041420153

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

Last Name

HICKAM

Business Name

JACQUELINE M HICKAM

Original Issue Date

05/14/2014

Effective Date

06/04/2018

Expiration Date

09/30/2020

City

CARBONDALE

State

Zip

62903

County

JACKSON

Ever Disciplined

LastModifiedDate

09/23/2024

Case Number

2017000499

Action

Fine

Discipline Start Date

09/05/2018

Discipline Reason

due to drug diversion and willfully filing false reports.