MARY KAY PIPER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****64

License Status

ACTIVE

Business

First Name

MARY

Middle

KAY

Last Name

PIPER

Business Name

MARY KAY PIPER

Original Issue Date

09/15/2005

Effective Date

03/11/2026

Expiration Date

05/31/2028

City

SALEM

State

Zip

62881

County

MARION

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/11/2026