STEPHANIE A LACKEY - Registered Nurse License in New Mexico | # 041303458

STEPHANIE A LACKEY

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041303458

License Status

INACTIVE

Business

N

First Name

STEPHANIE

Middle

A

Last Name

LACKEY

Business Name

STEPHANIE A LACKEY

Original Issue Date

06/18/1997

Effective Date

06/18/1997

Expiration Date

05/31/2004

State

NM

Ever Disciplined

N

LastModifiedDate

10/09/2006