STACEY RUSTIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041194916

License Status

NOT RENEWED

Business

First Name

STACEY

Last Name

RUSTIN

Business Name

STACEY RUSTIN

Original Issue Date

05/06/1980

Effective Date

08/01/2022

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

02/05/2025