STACEY A HENNING Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041276228

License Status

NOT RENEWED

Business

First Name

STACEY A

Last Name

HENNING

Business Name

STACEY A HENNING

Original Issue Date

10/12/1993

Effective Date

10/12/1993

Expiration Date

05/31/2004

City

COEUR D' ALENE

State

Zip

83815

County

IDAHO

Ever Disciplined

LastModifiedDate

10/09/2006