LISA A SUPER - Registered Nurse License in Illinois | # 043067804

LISA A SUPER

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043067804

License Status

NOT RENEWED

Business

N

First Name

LISA A

Last Name

SUPER

Business Name

LISA A SUPER

Original Issue Date

01/03/1990

Expiration Date

01/31/1991

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005