LISA A HEAD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043088694

License Status

INACTIVE

Business

First Name

LISA

Middle

Last Name

HEAD

Business Name

LISA A HEAD

Original Issue Date

08/08/2003

Effective Date

12/13/2004

Expiration Date

01/31/2005

City

WATERLOO

State

Zip

62298

County

MONROE

Ever Disciplined

LastModifiedDate

10/21/2005