STACEY A DEITZ Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041298096

License Status

NOT RENEWED

Business

First Name

STACEY A

Last Name

DEITZ

Business Name

STACEY A DEITZ

Original Issue Date

07/25/1996

Effective Date

07/25/1996

Expiration Date

05/31/2000

City

AURORA

State

Zip

80015

County

COLORADO

Ever Disciplined

LastModifiedDate

09/27/2006