LISA MARIE STARWALT Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****92

License Status

ACTIVE

Business

First Name

LISA

Middle

MARIE

Last Name

STARWALT

Business Name

LISA MARIE STARWALT

Original Issue Date

10/16/2025

Effective Date

10/16/2025

Expiration Date

05/31/2026

City

SALEM

State

Zip

62881

County

MARION

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026