LISA S PRUITT Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043079857

License Status

ACTIVE

Business

First Name

LISA S

Last Name

PRUITT

Business Name

LISA S PRUITT

Original Issue Date

10/04/1996

Effective Date

12/06/2024

Expiration Date

01/31/2027

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

12/06/2024