LISA LYCKSELL PIERCE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****33

License Status

NOT RENEWED

Business

First Name

LISA

Middle

LYCKSELL

Last Name

PIERCE

Business Name

LISA LYCKSELL PIERCE

Original Issue Date

04/29/2019

Effective Date

08/10/2020

Expiration Date

08/31/2022

City

CHICAGO

State

Zip

60614

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022