MARY ALICE STACEY Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043046936

License Status

INACTIVE

Business

First Name

MARY ALICE

Last Name

STACEY

Business Name

MARY ALICE STACEY

Original Issue Date

07/13/1979

Expiration Date

01/31/1991

City

FORT BENNING

State

Zip

31905

County

GEORGIA

Ever Disciplined

LastModifiedDate

10/21/2005