LISA D. SURRATT Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043046514

License Status

INACTIVE

Business

First Name

LISA

Middle

Last Name

SURRATT

Business Name

LISA D. SURRATT

Original Issue Date

01/26/1979

Expiration Date

01/31/1993

City

MT STERLING

State

Zip

62353

Ever Disciplined

LastModifiedDate

10/21/2005