STACEY M SPOUR - Registered Nurse License in Illinois | # 043090505

STACEY M SPOUR

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043090505

License Status

NOT RENEWED

Business

N

First Name

STACEY

Middle

M

Last Name

SPOUR

Business Name

STACEY M SPOUR

Original Issue Date

10/15/2004

Effective Date

01/23/2009

Expiration Date

01/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

03/10/2011