LISA FORREST STOREY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041279972

License Status

NOT RENEWED

Business

First Name

LISA FORREST

Last Name

STOREY

Business Name

LISA FORREST STOREY

Original Issue Date

04/09/1994

Effective Date

04/09/1994

Expiration Date

05/31/1998

City

ST JOSEPH

State

Zip

61873

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/27/2006