LISA MARIE FERGUSON - Registered Nurse License in Indiana | # 041338590

LISA MARIE FERGUSON

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041338590

License Status

NOT RENEWED

Business

N

First Name

LISA

Middle

MARIE

Last Name

FERGUSON

Business Name

LISA MARIE FERGUSON

Original Issue Date

12/23/2003

Effective Date

10/01/2020

Expiration Date

08/31/2022

State

IN

Ever Disciplined

N

LastModifiedDate

10/14/2022