STACEY ANN DAME Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041358562

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

ANN

Last Name

DAME

Business Name

STACEY ANN DAME

Original Issue Date

03/01/2007

Effective Date

04/21/2010

Expiration Date

05/31/2012

City

PLAINFIELD

State

Zip

60586

County

WILL

Ever Disciplined

LastModifiedDate

07/10/2012