JANE W STUFFLEBAM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041348336

License Status

NOT RENEWED

Business

First Name

JANE

Middle

Last Name

STUFFLEBAM

Business Name

JANE W STUFFLEBAM

Original Issue Date

08/29/2005

Effective Date

05/17/2018

Expiration Date

09/30/2020

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

01/14/2021