STACIE E JOHNSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043100291

License Status

NOT RENEWED

Business

First Name

STACIE

Middle

Last Name

JOHNSON

Business Name

STACIE E JOHNSON

Original Issue Date

09/01/2005

Effective Date

09/01/2005

Expiration Date

01/31/2007

City

MAZON

State

Zip

60444

County

GRUNDY

Ever Disciplined

LastModifiedDate

03/22/2007