LISA SUE FERN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043084387

License Status

NOT RENEWED

Business

First Name

LISA

Middle

SUE

Last Name

FERN

Business Name

LISA SUE FERN

Original Issue Date

11/18/1999

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

DUBUQUE

State

Zip

52001

County

IOWA

Ever Disciplined

LastModifiedDate

10/15/2005