JACQUELINE L STOUT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041339771

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

Last Name

STOUT

Business Name

JACQUELINE L STOUT

Original Issue Date

04/28/2004

Effective Date

04/28/2004

Expiration Date

05/31/2006

City

GALENA

State

Zip

61036

County

JO DAVIESS

Ever Disciplined

LastModifiedDate

10/09/2006