LISA MARIE SIMMONS

Business Entity
NOT RENEWED

Registered Nurse

REGISTERED PROFESSIONAL NURSE

041278611

NOT RENEWED

N

LISA MARIE

SIMMONS

LISA MARIE SIMMONS

11/18/1993

11/18/1993

05/31/2004

ROCKFORD

IL

61107

WINNEBAGO

Y

09/27/2006

2002007284

Suspension

05/21/2004

Diverted controlled substances from St. Anthony's Medical Center in Rockford for self-use.