LISA K WIEDEMANN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209021972

License Status

ACTIVE

Business

First Name

LISA

Middle

Last Name

WIEDEMANN

Business Name

LISA K WIEDEMANN

Original Issue Date

09/10/2020

Effective Date

07/12/2024

Expiration Date

05/31/2026

City

SAINT LOUIS

State

Zip

63141

Ever Disciplined

LastModifiedDate

03/26/2026