STEPHANIE B MCCOLLUM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043089877

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

MCCOLLUM

Business Name

STEPHANIE B MCCOLLUM

Original Issue Date

06/17/2004

Effective Date

01/14/2005

Expiration Date

01/31/2007

City

DU QUOIN

State

Zip

62832

County

PERRY

Ever Disciplined

LastModifiedDate

03/16/2007