MARY TERESA STALY Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043083939

License Status

INACTIVE

Business

First Name

MARY

Middle

TERESA

Last Name

STALY

Business Name

MARY TERESA STALY

Original Issue Date

08/24/1999

Effective Date

12/02/2004

Expiration Date

01/31/2005

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/15/2005