LISA A BANNISTER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****26

License Status

ACTIVE

Business

First Name

LISA

Middle

Last Name

BANNISTER

Business Name

LISA A BANNISTER

Original Issue Date

10/25/2023

Effective Date

03/31/2024

Expiration Date

05/31/2026

City

LYNWOOD

State

Zip

60411

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026