STACY L ZACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043073537

License Status

NOT RENEWED

Business

First Name

STACY L

Last Name

ZACK

Business Name

STACY L ZACK

Original Issue Date

03/24/1993

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/15/2005