LEEETTA K STUMPH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043061098

License Status

NOT RENEWED

Business

First Name

LEEETTA K

Last Name

STUMPH

Business Name

LEEETTA K STUMPH

Original Issue Date

03/25/1985

Effective Date

03/07/2001

Expiration Date

01/31/2001

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/15/2005