DAVID C LISS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****79

License Status

ACTIVE

Business

First Name

DAVID

Middle

Last Name

LISS

Business Name

DAVID C LISS

Original Issue Date

07/16/2013

Effective Date

05/01/2024

Expiration Date

05/31/2026

City

MONTICELLO

State

Zip

61856

County

VERMILION

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026