STACIA E ROBERTSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043078900

License Status

NOT RENEWED

Business

First Name

STACIA E

Last Name

ROBERTSON

Business Name

STACIA E ROBERTSON

Original Issue Date

02/01/1996

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

GRAND TOWER

State

Zip

62942

County

UNION

Ever Disciplined

LastModifiedDate

10/15/2005