LISA LYNN HENGEN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209022327

License Status

INACTIVE

Business

First Name

LISA

Middle

LYNN

Last Name

HENGEN

Business Name

LISA LYNN HENGEN

Original Issue Date

10/27/2020

Effective Date

06/22/2022

Expiration Date

05/31/2024

City

DUBOIS

State

Zip

15801

Specialty/Qualifier

DOCTORATE

Ever Disciplined

LastModifiedDate

06/22/2022