MANDY L STOUT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043085136

License Status

NOT RENEWED

Business

First Name

MANDY

Middle

Last Name

STOUT

Business Name

MANDY L STOUT

Original Issue Date

08/08/2000

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

AUGUSTA

State

Zip

62311

Ever Disciplined

LastModifiedDate

10/15/2005