STACEY E BROWN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043078896

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

BROWN

Business Name

STACEY E BROWN

Original Issue Date

02/01/1996

Effective Date

03/07/2001

Expiration Date

01/31/2001

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/15/2005