LYNN CAROL PHILLIPPE Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****77

License Status

INOPERATIVE

Business

First Name

LYNN

Middle

CAROL

Last Name

PHILLIPPE

Business Name

LYNN CAROL PHILLIPPE

Original Issue Date

12/22/2005

Effective Date

04/24/2018

Expiration Date

09/30/2020

City

SUMNER

State

Zip

62466

County

LAWRENCE

Delegated Controlled Substance Schedule

IV V

Ever Disciplined

LastModifiedDate

03/08/2020