STACEY L STARWALT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041330177

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

STARWALT

Business Name

STACEY L STARWALT

Original Issue Date

05/30/2002

Effective Date

05/30/2002

Expiration Date

05/31/2008

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

07/11/2008