STACEY L DAVIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041415526

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

DAVIS

Business Name

STACEY L DAVIS

Original Issue Date

09/27/2013

Effective Date

06/01/2016

Expiration Date

05/31/2018

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/19/2018