LISA L SHEPHERD Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209006148

License Status

INACTIVE

Business

First Name

LISA L

Last Name

SHEPHERD

Business Name

LISA L SHEPHERD

Original Issue Date

08/07/2006

Effective Date

04/10/2018

Expiration Date

09/30/2020

City

CAMARGO

State

Zip

61919

County

DOUGLAS

Ever Disciplined

LastModifiedDate

04/10/2018