STACEY M BAENEN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041300712

License Status

INACTIVE

Business

First Name

STACEY M

Last Name

BAENEN

Business Name

STACEY M BAENEN

Original Issue Date

10/19/1996

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

SAN FRANCISCO

State

Zip

94118

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

03/05/2010