STACIE MARIE MOLDTHAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041311764

License Status

NOT RENEWED

Business

First Name

STACIE

Middle

MARIE

Last Name

MOLDTHAN

Business Name

STACIE MARIE MOLDTHAN

Original Issue Date

09/28/1998

Effective Date

09/28/1998

Expiration Date

05/31/2002

City

AURORA

State

Zip

60504

County

KANE

Ever Disciplined

LastModifiedDate

10/09/2006