STACY M VIDA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041316399

License Status

NOT RENEWED

Business

First Name

STACY

Middle

Last Name

VIDA

Business Name

STACY M VIDA

Original Issue Date

09/08/1999

Effective Date

06/05/2022

Expiration Date

06/30/2024

City

OSWEGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

02/05/2025