STACEY D MAXEY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043106974

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

MAXEY

Business Name

STACEY D MAXEY

Original Issue Date

11/07/2008

Effective Date

11/07/2008

Expiration Date

01/31/2011

City

DAHLGREN

State

Zip

62828

County

HAMILTON

Ever Disciplined

LastModifiedDate

03/10/2011