LISA SIMONE HERZING Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****61

License Status

INACTIVE

Business

First Name

LISA

Middle

SIMONE

Last Name

HERZING

Business Name

LISA SIMONE HERZING

Original Issue Date

03/21/2019

Effective Date

03/21/2019

Expiration Date

09/30/2020

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/21/2019