STACEY M BROYLES Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043070817

License Status

INACTIVE

Business

First Name

STACEY

Middle

Last Name

BROYLES

Business Name

STACEY M BROYLES

Original Issue Date

01/16/1992

Effective Date

11/30/2012

Expiration Date

01/31/2015

City

GRIGGSVILLE

State

Zip

62340

County

PIKE

Ever Disciplined

LastModifiedDate

11/07/2014