LISA MARIE SPANNBAUER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****74

License Status

NOT RENEWED

Business

First Name

LISA

Middle

MARIE

Last Name

SPANNBAUER

Business Name

LISA MARIE SPANNBAUER

Original Issue Date

11/23/2009

Effective Date

08/09/2010

Expiration Date

05/31/2012

City

ANTIOCH

State

Zip

60002

County

LAKE

Ever Disciplined

LastModifiedDate

07/10/2012