LISL D LILLQUIST Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041124315

License Status

INACTIVE

Business

First Name

LISL D

Last Name

LILLQUIST

Business Name

LISL D LILLQUIST

Original Issue Date

12/04/1967

Effective Date

12/04/1967

Expiration Date

05/31/1992

City

PORT ST. JOE

State

Zip

32456

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/27/2006