IVA J STOUT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043076367

License Status

NOT RENEWED

Business

First Name

IVA J

Last Name

STOUT

Business Name

IVA J STOUT

Original Issue Date

10/15/1994

Effective Date

10/20/2009

Expiration Date

01/31/2011

City

PITTSFIELD

State

Zip

62363

County

PIKE

Ever Disciplined

LastModifiedDate

03/10/2011