STACY JO DEICHMAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043046515

License Status

INACTIVE

Business

First Name

STACY JO

Last Name

DEICHMAN

Business Name

STACY JO DEICHMAN

Original Issue Date

01/26/1979

Expiration Date

05/01/1982

City

MT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

10/21/2005