STEPHANIE K CLEMENTS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043100350

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

CLEMENTS

Business Name

STEPHANIE K CLEMENTS

Original Issue Date

09/15/2005

Effective Date

09/15/2005

Expiration Date

01/31/2007

City

ASTORIA

State

Zip

61501

County

FULTON

Ever Disciplined

LastModifiedDate

03/16/2007