CARLA M STACY Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041247045

License Status

INACTIVE

Business

First Name

CARLA M

Last Name

STACY

Business Name

CARLA M STACY

Original Issue Date

04/19/1988

Effective Date

04/19/1988

Expiration Date

05/31/2008

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/11/2008