STACIE ANN MELVIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043048219

License Status

NOT RENEWED

Business

First Name

STACIE ANN

Last Name

MELVIN

Business Name

STACIE ANN MELVIN

Original Issue Date

01/07/1980

Expiration Date

05/01/1982

City

STERLING

State

Zip

61081

County

WHITESIDE

Ever Disciplined

LastModifiedDate

10/21/2005