STACEY C MARTIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043084826

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

MARTIN

Business Name

STACEY C MARTIN

Original Issue Date

04/11/2000

Effective Date

01/09/2019

Expiration Date

01/31/2021

City

GLENDALE HEIGHTS

State

Zip

60139

Ever Disciplined

LastModifiedDate

03/11/2021