STACEY L GONZALEZ Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043081701

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

GONZALEZ

Business Name

STACEY L GONZALEZ

Original Issue Date

11/14/1997

Effective Date

02/22/1999

Expiration Date

01/31/1999

City

BERWYN

State

Zip

60402

Ever Disciplined

LastModifiedDate

10/21/2005