MARILYN M PICCOLO Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041219482

License Status

NOT RENEWED

Business

First Name

MARILYN M

Last Name

PICCOLO

Business Name

MARILYN M PICCOLO

Original Issue Date

11/08/1983

Effective Date

05/31/2018

Expiration Date

09/30/2020

City

VILLAGE OF LAKEWOOD

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

01/14/2021

Case Number

2002007638

Action

Reprimand

Discipline Start Date

12/15/2003

Discipline Reason

Faxed an unauthorized prescription to a pharmacy under a patient's name, in an attempt to obtain Vicodinf or self-use.