STACEY B MENDEZ Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043104648

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

MENDEZ

Business Name

STACEY B MENDEZ

Original Issue Date

10/23/2007

Effective Date

10/23/2007

Expiration Date

01/31/2009

City

LINDENHURST

State

Zip

60046

County

COOK

Ever Disciplined

LastModifiedDate

03/17/2009