STACY M BASTEN - Registered Nurse License in Illinois | # 041377158

STACY M BASTEN

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041377158

License Status

INACTIVE

Business

N

First Name

STACY

Middle

M

Last Name

BASTEN

Business Name

STACY M BASTEN

Original Issue Date

07/14/2009

Effective Date

05/07/2012

Expiration Date

05/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

03/06/2014