STACY A RANDALL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043081845

License Status

NOT RENEWED

Business

First Name

STACY

Middle

Last Name

RANDALL

Business Name

STACY A RANDALL

Original Issue Date

12/18/1997

Effective Date

03/07/2001

Expiration Date

01/31/2001

City

METROPOLIS

State

Zip

62960

County

MASSAC

Ever Disciplined

LastModifiedDate

10/15/2005