LISA F TUCKER Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****09

License Status

INACTIVE

Business

First Name

LISA

Middle

Last Name

TUCKER

Business Name

LISA F TUCKER

Original Issue Date

06/30/2017

Effective Date

05/21/2022

Expiration Date

05/31/2024

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/21/2022