LISA L SHEPHERD Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****03

License Status

INACTIVE

Business

First Name

LISA L

Last Name

SHEPHERD

Business Name

LISA L SHEPHERD

Original Issue Date

08/07/2006

Effective Date

04/11/2018

Expiration Date

09/30/2020

City

CAMARGO

State

Zip

61919

County

DOUGLAS

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/10/2018