STACEY R KLEIST Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041341418

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

KLEIST

Business Name

STACEY R KLEIST

Original Issue Date

08/02/2004

Effective Date

04/22/2014

Expiration Date

05/31/2016

City

CARROLLTON

State

Zip

62016

County

GREENE

Ever Disciplined

LastModifiedDate

07/11/2016