CARRIE LEE PLISCO Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****21

License Status

ACTIVE

Business

First Name

CARRIE

Middle

LEE

Last Name

PLISCO

Business Name

CARRIE LEE PLISCO

Original Issue Date

11/13/2023

Effective Date

09/18/2024

Expiration Date

05/31/2026

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026