STACIE R GOLDMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043057687

License Status

NOT RENEWED

Business

First Name

STACIE R

Last Name

GOLDMAN

Business Name

STACIE R GOLDMAN

Original Issue Date

12/27/1983

Expiration Date

01/31/1991

City

DUPO

State

Zip

62239

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/21/2005