LISA A BOURQUIN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN CONTROL SUB

License Number

37*****85

License Status

ACTIVE

Business

First Name

LISA

Middle

Last Name

BOURQUIN

Business Name

LISA A BOURQUIN

Original Issue Date

06/23/2024

Effective Date

06/23/2024

Expiration Date

05/31/2026

City

WARREN

State

Zip

61087

Ever Disciplined

LastModifiedDate

03/02/2026