STACEY A KITCHEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043069398

License Status

NOT RENEWED

Business

First Name

STACEY A

Last Name

KITCHEN

Business Name

STACEY A KITCHEN

Original Issue Date

12/21/1990

Effective Date

01/19/2021

Expiration Date

01/31/2023

City

WESTVILLE

State

Zip

61883

County

VERMILION

Ever Disciplined

LastModifiedDate

03/31/2023