STACEY L DIERKER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043075730

License Status

NOT RENEWED

Business

First Name

STACEY L

Last Name

DIERKER

Business Name

STACEY L DIERKER

Original Issue Date

06/22/1994

Effective Date

12/16/2008

Expiration Date

01/31/2011

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

03/10/2011