LISA M EDENFIELD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043087984

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

EDENFIELD

Business Name

LISA M EDENFIELD

Original Issue Date

11/14/2002

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

MINIER

State

Zip

61759

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/21/2005