STACEY J TEBBE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043086813

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

TEBBE

Business Name

STACEY J TEBBE

Original Issue Date

11/15/2001

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

TEUTOPOLIS

State

Zip

62467

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

10/15/2005