LISA J SUWANAWONGSE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209016422

License Status

ACTIVE

Business

First Name

LISA

Middle

Last Name

SUWANAWONGSE

Business Name

LISA J SUWANAWONGSE

Original Issue Date

08/22/2017

Effective Date

03/15/2024

Expiration Date

05/31/2026

City

PITTSBURG

State

Zip

62974

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

03/02/2026