LISA LYNN HENGEN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****78

License Status

INACTIVE

Business

First Name

LISA

Middle

LYNN

Last Name

HENGEN

Business Name

LISA LYNN HENGEN

Original Issue Date

02/18/2021

Effective Date

05/16/2022

Expiration Date

05/31/2024

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

05/16/2022