STACIE BETH BUSBOOM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041303486

License Status

NOT RENEWED

Business

First Name

STACIE

Middle

BETH

Last Name

BUSBOOM

Business Name

STACIE BETH BUSBOOM

Original Issue Date

06/20/1997

Effective Date

06/20/1997

Expiration Date

05/31/2000

City

AURORA

State

Zip

60504

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/27/2006