LISA M REID Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****83

License Status

ACTIVE

Business

First Name

LISA

Middle

Last Name

REID

Business Name

LISA M REID

Original Issue Date

04/29/2024

Effective Date

04/29/2024

Expiration Date

05/31/2026

City

GODFREY

State

Zip

62035

County

MADISON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026