LISA M GAVIN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041221181

License Status

INACTIVE

Business

First Name

LISA M

Last Name

GAVIN

Business Name

LISA M GAVIN

Original Issue Date

12/08/1983

Effective Date

12/08/1983

Expiration Date

05/31/1994

City

WORDEN

State

Zip

62097

County

MADISON

Ever Disciplined

LastModifiedDate

09/27/2006