LISA J MAYNARD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043079179

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

MAYNARD

Business Name

LISA J MAYNARD

Original Issue Date

04/29/1996

Effective Date

01/14/2019

Expiration Date

01/31/2021

City

MOWEAQUA

State

Zip

62550

Ever Disciplined

LastModifiedDate

03/11/2021