LISA M NANNIE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209001338

License Status

ACTIVE

Business

First Name

LISA

Middle

Last Name

NANNIE

Business Name

LISA M NANNIE

Original Issue Date

06/21/2001

Effective Date

05/05/2024

Expiration Date

05/31/2026

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

03/02/2026