LISA S PACK - Registered Nurse License in Missouri | # 043088577

LISA S PACK

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043088577

License Status

INACTIVE

Business

N

First Name

LISA

Middle

S

Last Name

PACK

Business Name

LISA S PACK

Original Issue Date

07/08/2003

Effective Date

11/29/2004

Expiration Date

01/31/2005

State

MO

Ever Disciplined

N

LastModifiedDate

10/21/2005