SANDRA D STACK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043074548

License Status

NOT RENEWED

Business

First Name

SANDRA D

Last Name

STACK

Business Name

SANDRA D STACK

Original Issue Date

12/15/1993

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

10/15/2005