STACY L MATTINGLY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041339935

License Status

NOT RENEWED

Business

First Name

STACY

Middle

Last Name

MATTINGLY

Business Name

STACY L MATTINGLY

Original Issue Date

05/20/2004

Effective Date

04/23/2012

Expiration Date

05/31/2014

City

POPLAR GROVE

State

Zip

61065

County

BOONE

Ever Disciplined

LastModifiedDate

07/03/2014