LISA MARIE BUCKLES Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041172105

License Status

NOT RENEWED

Business

First Name

LISA

Middle

MARIE

Last Name

BUCKLES

Business Name

LISA MARIE BUCKLES

Original Issue Date

11/03/1976

Effective Date

09/01/2022

Expiration Date

06/30/2024

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

02/05/2025