STACEY A HACKETT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043069404

License Status

NOT RENEWED

Business

First Name

STACEY A

Last Name

HACKETT

Business Name

STACEY A HACKETT

Original Issue Date

12/21/1990

Effective Date

11/16/2016

Expiration Date

01/31/2019

City

CHARLESTON

State

Zip

61920

County

COLES

Ever Disciplined

LastModifiedDate

03/28/2019