MARY T OSHIPITAN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****32

License Status

ACTIVE

Business

First Name

MARY

Middle

Last Name

OSHIPITAN

Business Name

MARY T OSHIPITAN

Original Issue Date

09/08/2024

Effective Date

09/08/2024

Expiration Date

05/31/2026

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026