STACEY M SPOUR Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043090505

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

SPOUR

Business Name

STACEY M SPOUR

Original Issue Date

10/15/2004

Effective Date

01/23/2009

Expiration Date

01/31/2011

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

03/10/2011