STACEY K MASON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043077983

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

MASON

Business Name

STACEY K MASON

Original Issue Date

09/19/1995

Effective Date

11/03/2006

Expiration Date

01/31/2009

City

MILAN

State

Zip

61264

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

03/17/2009