LISA LYNN HENDERSON Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****93

License Status

INOPERATIVE

Business

First Name

LISA LYNN

Last Name

HENDERSON

Business Name

LISA LYNN HENDERSON

Original Issue Date

09/08/2016

Effective Date

03/06/2024

Expiration Date

05/31/2026

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/02/2025