STACEY M BROYLES Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041407167

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

BROYLES

Business Name

STACEY M BROYLES

Original Issue Date

11/15/2012

Effective Date

03/31/2016

Expiration Date

05/31/2018

City

GRIGGSVILLE

State

Zip

62340

County

PIKE

Ever Disciplined

LastModifiedDate

07/19/2018