LISA F TUCKER Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209006812

License Status

INACTIVE

Business

First Name

LISA

Middle

Last Name

TUCKER

Business Name

LISA F TUCKER

Original Issue Date

10/11/2007

Effective Date

08/04/2022

Expiration Date

05/31/2024

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

08/04/2022