LISA DIANE MONTGOMERY Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041486103

License Status

ACTIVE

Business

First Name

LISA

Middle

DIANE

Last Name

MONTGOMERY

Business Name

LISA DIANE MONTGOMERY

Original Issue Date

09/30/2019

Effective Date

05/26/2024

Expiration Date

05/31/2026

City

RUSKIN

State

Zip

33570

Ever Disciplined

LastModifiedDate

03/01/2026