STACIE LYNN ALLEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043083468

License Status

NOT RENEWED

Business

First Name

STACIE

Middle

LYNN

Last Name

ALLEN

Business Name

STACIE LYNN ALLEN

Original Issue Date

03/01/1999

Effective Date

03/07/2001

Expiration Date

01/31/2001

City

DE KALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

10/21/2005