MARY KAY PIPER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****44

License Status

NOT RENEWED

Business

First Name

MARY

Middle

KAY

Last Name

PIPER

Business Name

MARY KAY PIPER

Original Issue Date

08/20/2001

Effective Date

08/20/2001

Expiration Date

05/31/2006

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/09/2006