LISA MARIE FILLBACK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041316845

License Status

INACTIVE

Business

First Name

LISA

Middle

MARIE

Last Name

FILLBACK

Business Name

LISA MARIE FILLBACK

Original Issue Date

09/29/1999

Effective Date

05/06/2010

Expiration Date

05/31/2012

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

03/08/2012