TISHA L LEWIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043108440

License Status

NOT RENEWED

Business

First Name

TISHA

Middle

Last Name

LEWIS

Business Name

TISHA L LEWIS

Original Issue Date

08/13/2009

Effective Date

01/13/2011

Expiration Date

01/31/2013

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/20/2013