LISA S PACK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043088577

License Status

INACTIVE

Business

First Name

LISA

Middle

Last Name

PACK

Business Name

LISA S PACK

Original Issue Date

07/08/2003

Effective Date

11/29/2004

Expiration Date

01/31/2005

City

WILLARD

State

Zip

65781

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/21/2005