LISA M HOLLER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209019488

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

HOLLER

Business Name

LISA M HOLLER

Original Issue Date

05/29/2019

Effective Date

05/29/2019

Expiration Date

09/30/2020

City

PORTLAND

State

Zip

97216

Ever Disciplined

LastModifiedDate

01/14/2021