STACEY M BAST - Registered Nurse License in Illinois | # 043087181

STACEY M BAST

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043087181

License Status

NOT RENEWED

Business

N

First Name

STACEY

Middle

M

Last Name

BAST

Business Name

STACEY M BAST

Original Issue Date

03/12/2002

Effective Date

11/13/2020

Expiration Date

01/31/2023

State

IL

Ever Disciplined

N

LastModifiedDate

03/31/2023