STACIE BETH BUSBOOM - Registered Nurse License in Illinois | # 041303486

STACIE BETH BUSBOOM

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041303486

License Status

NOT RENEWED

Business

N

First Name

STACIE

Middle

BETH

Last Name

BUSBOOM

Business Name

STACIE BETH BUSBOOM

Original Issue Date

06/20/1997

Effective Date

06/20/1997

Expiration Date

05/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

09/27/2006