STACY L PHILLIPS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043084410

License Status

NOT RENEWED

Business

First Name

STACY

Middle

Last Name

PHILLIPS

Business Name

STACY L PHILLIPS

Original Issue Date

11/24/1999

Effective Date

01/14/2005

Expiration Date

01/31/2007

City

GALESBURG

State

Zip

61401

Ever Disciplined

LastModifiedDate

03/16/2007