LISA A SPIVEY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043067398

License Status

NOT RENEWED

Business

First Name

LISA A

Last Name

SPIVEY

Business Name

LISA A SPIVEY

Original Issue Date

08/23/1989

Expiration Date

01/31/1997

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/02/2010

Case Number

1990006847

Action

Refuse To Renew

Discipline Start Date

10/19/1990

Discipline End Date

10/20/1994

Discipline Reason

Defaulted on Illinois Student Assistance loan.