LISA B BERRY Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****02

License Status

NOT RENEWED

Business

First Name

LISA B

Last Name

BERRY

Business Name

LISA B BERRY

Original Issue Date

01/21/2004

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

08/11/2010