STACEY R ROHMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043100999

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

ROHMAN

Business Name

STACEY R ROHMAN

Original Issue Date

12/02/2005

Effective Date

12/02/2005

Expiration Date

01/31/2007

City

MOUNT ZION

State

Zip

62549

County

MACON

Ever Disciplined

LastModifiedDate

03/16/2007