LISA MARIE HARMON Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****27

License Status

INOPERATIVE

Business

First Name

LISA MARIE

Last Name

HARMON

Business Name

LISA MARIE HARMON

Original Issue Date

05/25/2017

Effective Date

05/25/2017

Expiration Date

05/31/2018

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/01/2018