LISA M HOLLER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041332022

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

HOLLER

Business Name

LISA M HOLLER

Original Issue Date

08/28/2002

Effective Date

05/29/2019

Expiration Date

09/30/2020

City

PORTLAND

State

Zip

97216

Ever Disciplined

LastModifiedDate

01/14/2021