NATALIE A WIPERT Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****82

License Status

NOT RENEWED

Business

First Name

NATALIE

Middle

Last Name

WIPERT

Business Name

NATALIE A WIPERT

Original Issue Date

07/16/2013

Effective Date

09/28/2020

Expiration Date

08/31/2022

City

NEW PORT RICHEY

State

Zip

34654

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022