STACEY LEE DISHAW Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043100021

License Status

ACTIVE

Business

First Name

STACEY

Middle

LEE

Last Name

DISHAW

Business Name

STACEY LEE DISHAW

Original Issue Date

06/23/2005

Effective Date

12/30/2024

Expiration Date

01/31/2027

City

THIRD LAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

12/30/2024