STACEY A WHALEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041231473

License Status

NOT RENEWED

Business

First Name

STACEY A

Last Name

WHALEN

Business Name

STACEY A WHALEN

Original Issue Date

10/24/1985

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

08/16/2010