RICHARD A STAFFELDT Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043079712

License Status

INACTIVE

Business

First Name

RICHARD A

Last Name

STAFFELDT

Business Name

RICHARD A STAFFELDT

Original Issue Date

09/23/1996

Effective Date

12/28/2010

Expiration Date

01/31/2013

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

11/08/2012