STACEY LEE TYRRELL Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041304325

License Status

INACTIVE

Business

First Name

STACEY

Middle

LEE

Last Name

TYRRELL

Business Name

STACEY LEE TYRRELL

Original Issue Date

08/06/1997

Effective Date

03/15/2010

Expiration Date

05/31/2012

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

03/08/2012