CYNTHIA L PHILPOTT Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****86

License Status

ACTIVE

Business

First Name

CYNTHIA L

Last Name

PHILPOTT

Business Name

CYNTHIA L PHILPOTT

Original Issue Date

06/28/2019

Effective Date

05/30/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026