STACIA A DENNISON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043089054

License Status

NOT RENEWED

Business

First Name

STACIA

Middle

Last Name

DENNISON

Business Name

STACIA A DENNISON

Original Issue Date

10/09/2003

Effective Date

11/08/2004

Expiration Date

01/31/2007

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

03/16/2007