LISA M FARGO Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041456261

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

FARGO

Business Name

LISA M FARGO

Original Issue Date

08/02/2017

Effective Date

04/11/2018

Expiration Date

09/30/2020

City

MOUNT HOREB

State

Zip

53572

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/14/2021