STACY J LANG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043087563

License Status

NOT RENEWED

Business

First Name

STACY

Middle

Last Name

LANG

Business Name

STACY J LANG

Original Issue Date

08/07/2002

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

MUNDELIEN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

10/15/2005