LACY PIPPIN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****73

License Status

ACTIVE

Business

First Name

LACY

Last Name

PIPPIN

Business Name

LACY PIPPIN

Original Issue Date

08/13/2024

Effective Date

08/13/2024

Expiration Date

05/31/2026

City

DOWNERS GROVE

State

Zip

60515

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026