KIMBERLY J STACEY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043089820

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

STACEY

Business Name

KIMBERLY J STACEY

Original Issue Date

05/27/2004

Effective Date

01/11/2011

Expiration Date

01/31/2013

City

JUNCTION

State

Zip

62954

County

GALLATIN

Ever Disciplined

LastModifiedDate

03/20/2013