LISA A LARSON Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209000807

License Status

INACTIVE

Business

First Name

LISA

Middle

Last Name

LARSON

Business Name

LISA A LARSON

Original Issue Date

06/11/2001

Effective Date

05/20/2020

Expiration Date

05/31/2022

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/20/2020