LORI R KISSAU Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041392661

License Status

NOT RENEWED

Business

First Name

LORI

Middle

Last Name

KISSAU

Business Name

LORI R KISSAU

Original Issue Date

05/27/2011

Effective Date

05/27/2011

Expiration Date

05/31/2012

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

07/10/2012