STACI J MATLOCK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043089654

License Status

NOT RENEWED

Business

First Name

STACI

Middle

Last Name

MATLOCK

Business Name

STACI J MATLOCK

Original Issue Date

03/10/2004

Effective Date

04/02/2018

Expiration Date

01/31/2019

City

MC CLURE

State

Zip

62957

County

ALEXANDER

Ever Disciplined

LastModifiedDate

03/28/2019