STACEY A HENNING - Registered Nurse License in Idaho | # 041276228

STACEY A HENNING

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041276228

License Status

NOT RENEWED

Business

N

First Name

STACEY A

Last Name

HENNING

Business Name

STACEY A HENNING

Original Issue Date

10/12/1993

Effective Date

10/12/1993

Expiration Date

05/31/2004

State

ID

Ever Disciplined

N

LastModifiedDate

10/09/2006