LISA SIMONE HERZING Advanced Practice Nurse License verification

Business Entity

CANCELLED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****52

License Status

CANCELLED

Business

First Name

LISA

Middle

SIMONE

Last Name

HERZING

Business Name

LISA SIMONE HERZING

Original Issue Date

12/01/2010

Effective Date

12/01/2010

Expiration Date

05/31/2012

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

12/01/2010