KATHLEEN ANN STAIN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043028351

License Status

INACTIVE

Business

First Name

KATHLEEN ANN

Last Name

STAIN

Business Name

KATHLEEN ANN STAIN

Original Issue Date

04/28/1971

Effective Date

11/19/2008

Expiration Date

01/31/2011

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

11/03/2010