EILEEN M STAVENHAGEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043090933

License Status

NOT RENEWED

Business

First Name

EILEEN

Middle

Last Name

STAVENHAGEN

Business Name

EILEEN M STAVENHAGEN

Original Issue Date

01/07/2005

Effective Date

01/07/2005

Expiration Date

01/31/2007

City

JUSTICE

State

Zip

60458

Ever Disciplined

LastModifiedDate

03/16/2007