LISA LAUREN ANTLE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209016820

License Status

NOT RENEWED

Business

First Name

LISA

Middle

LAUREN

Last Name

ANTLE

Business Name

LISA LAUREN ANTLE

Original Issue Date

10/27/2017

Effective Date

06/02/2020

Expiration Date

08/31/2022

City

DELAVAN

State

Zip

53115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/14/2022