STACEY A DEITZ - Registered Nurse License in Illinois | # 043078841

STACEY A DEITZ

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043078841

License Status

NOT RENEWED

Business

N

First Name

STACEY A

Last Name

DEITZ

Business Name

STACEY A DEITZ

Original Issue Date

01/13/1996

Expiration Date

01/31/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005