TERRI N LIPPS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****25

License Status

NOT RENEWED

Business

First Name

TERRI

Middle

Last Name

LIPPS

Business Name

TERRI N LIPPS

Original Issue Date

06/27/2003

Effective Date

03/27/2018

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61615

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021