LISA J SHARP Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****69

License Status

NOT RENEWED

Business

First Name

LISA J

Last Name

SHARP

Business Name

LISA J SHARP

Original Issue Date

02/03/2015

Effective Date

06/02/2020

Expiration Date

08/31/2022

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/14/2022