LISA A BOURQUIN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN

License Number

277003257

License Status

ACTIVE

Business

First Name

LISA

Middle

Last Name

BOURQUIN

Business Name

LISA A BOURQUIN

Original Issue Date

06/23/2024

Effective Date

06/23/2024

Expiration Date

05/31/2026

City

WARREN

State

Zip

61087

Ever Disciplined

LastModifiedDate

03/02/2026