STACIE A MARTIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043105302

License Status

NOT RENEWED

Business

First Name

STACIE

Middle

Last Name

MARTIN

Business Name

STACIE A MARTIN

Original Issue Date

02/15/2008

Effective Date

12/16/2008

Expiration Date

01/31/2011

City

KEOKUK

State

Zip

52632

Ever Disciplined

LastModifiedDate

10/21/2024