LISA A BOURQUIN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209028784

License Status

INACTIVE

Business

First Name

LISA

Middle

Last Name

BOURQUIN

Business Name

LISA A BOURQUIN

Original Issue Date

11/12/2023

Effective Date

05/13/2024

Expiration Date

05/31/2026

City

WARREN

State

Zip

61087

Ever Disciplined

LastModifiedDate

05/13/2024