LISA B BERRY Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209003647

License Status

NOT RENEWED

Business

First Name

LISA B

Last Name

BERRY

Business Name

LISA B BERRY

Original Issue Date

08/16/2001

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

PENFIELD

State

Zip

61862

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

08/11/2010