STACEY A MAXEY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043063455

License Status

NOT RENEWED

Business

First Name

STACEY A

Last Name

MAXEY

Business Name

STACEY A MAXEY

Original Issue Date

08/04/1986

Expiration Date

01/31/1993

City

SALEM

State

Zip

62881

County

MARION

Ever Disciplined

LastModifiedDate

10/21/2005