STACEY L HEITKAMP Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041307891

License Status

INACTIVE

Business

First Name

STACEY

Middle

Last Name

HEITKAMP

Business Name

STACEY L HEITKAMP

Original Issue Date

03/05/1998

Effective Date

03/05/1998

Expiration Date

05/31/2006

City

EAST DUBUQUE

State

Zip

61025

County

JO DAVIESS

Ever Disciplined

LastModifiedDate

10/09/2006