LA VERTA LIESEN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043017319

License Status

INACTIVE

Business

First Name

LA VERTA

Last Name

LIESEN

Business Name

LA VERTA LIESEN

Original Issue Date

12/19/1966

Expiration Date

01/31/1991

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

10/21/2005