STACY D SQUIRES Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041347571

License Status

NOT RENEWED

Business

First Name

STACY

Middle

Last Name

SQUIRES

Business Name

STACY D SQUIRES

Original Issue Date

08/10/2005

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

08/16/2010