STACEY R MILLS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043090249

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

MILLS

Business Name

STACEY R MILLS

Original Issue Date

09/16/2004

Effective Date

11/08/2020

Expiration Date

01/31/2023

City

PEORIA HEIGHTS

State

Zip

61616

County

PEORIA

Ever Disciplined

LastModifiedDate

03/31/2023