LISA M EVANS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****39

License Status

ACTIVE

Business

First Name

LISA

Middle

Last Name

EVANS

Business Name

LISA M EVANS

Original Issue Date

03/01/2007

Effective Date

04/17/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/02/2026