LISA A SUPER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043067804

License Status

NOT RENEWED

Business

First Name

LISA A

Last Name

SUPER

Business Name

LISA A SUPER

Original Issue Date

01/03/1990

Expiration Date

01/31/1991

City

CUBA

State

Zip

61427

County

FULTON

Ever Disciplined

LastModifiedDate

10/21/2005