LISA A MOMENT Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209011117

License Status

ACTIVE

Business

First Name

LISA

Middle

Last Name

MOMENT

Business Name

LISA A MOMENT

Original Issue Date

12/16/2013

Effective Date

05/01/2024

Expiration Date

05/31/2026

City

CHAMPAIGN

State

Zip

61821

Ever Disciplined

LastModifiedDate

03/02/2026