IDA R LAMPIGNANO Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****93

License Status

NOT RENEWED

Business

First Name

IDA

Middle

Last Name

LAMPIGNANO

Business Name

IDA R LAMPIGNANO

Original Issue Date

10/31/2019

Effective Date

10/31/2019

Expiration Date

09/30/2020

City

ST CHARLES

State

Zip

60174

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021