| Name | LUCAS ROLL TOBIAS |
| City/State |
| License and Registration Information | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Credential | License Type | Original Issue | Issue Date | Expiration Date | Status | Discipline | How issued | Description | |||||||
| IP.409472-MEDS | Practical Nurse w/MEDS- Temporary Work Permit | 05/07/2014 | 05/07/2014 | 11/07/2014 | CLOSED | ||||||||||
| PN.157773-MEDS | Licensed Practical Nurse - MEDS | 10/24/2014 | 10/24/2014 | 08/31/2016 | ACTIVE | Endorsement | |||||||||