STACY M MODER - Registered Nurse License in Illinois | # 043103352

STACY M MODER

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043103352

License Status

NOT RENEWED

Business

N

First Name

STACY

Middle

M

Last Name

MODER

Business Name

STACY M MODER

Original Issue Date

04/05/2007

Effective Date

01/31/2011

Expiration Date

01/31/2013

State

IL

Ever Disciplined

N

LastModifiedDate

03/20/2013