LISA MARIE VANDENBERG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041322726

License Status

NOT RENEWED

Business

First Name

LISA

Middle

MARIE

Last Name

VANDENBERG

Business Name

LISA MARIE VANDENBERG

Original Issue Date

11/20/2000

Effective Date

11/20/2000

Expiration Date

05/31/2004

City

EARL PARK

State

Zip

47942

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006