LISA M MORAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****20

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

MORAN

Business Name

LISA M MORAN

Original Issue Date

01/04/2017

Effective Date

04/22/2020

Expiration Date

08/31/2022

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022