DEBORAH JEANETTE STACK Registered Nurse License verification

DEBORAH JEANETTE STACK

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041326960

License Status

NOT RENEWED

Business

First Name

DEBORAH

Middle

JEANETTE

Last Name

STACK

Business Name

DEBORAH JEANETTE STACK

Original Issue Date

09/25/2001

Effective Date

04/25/2012

Expiration Date

05/31/2014

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

07/03/2014

Case Number

2012008932

Action

Refuse To Renew

Discipline Start Date

05/16/2014

Discipline Reason

for failing to respond to the Department's Notice to Refuse to Renew license based on testing positive in a pre-employment screen for marijuana, benzodiazepines, oxazepam, and nordiazepam and failing to self report possible addiction.