STACEY R ROACH Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043078135

License Status

ACTIVE

Business

First Name

STACEY R

Last Name

ROACH

Business Name

STACEY R ROACH

Original Issue Date

10/11/1995

Effective Date

01/10/2025

Expiration Date

01/31/2027

City

LITCHFIELD

State

Zip

62056

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

01/10/2025