DAPHNE L PIERCY Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****17

License Status

INACTIVE

Business

First Name

DAPHNE L

Last Name

PIERCY

Business Name

DAPHNE L PIERCY

Original Issue Date

12/14/2004

Effective Date

04/11/2018

Expiration Date

09/30/2020

City

CAMARGO

State

Zip

61919

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/10/2018