STACEY L HAGERSTROM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043107265

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

HAGERSTROM

Business Name

STACEY L HAGERSTROM

Original Issue Date

01/12/2009

Effective Date

01/24/2013

Expiration Date

01/31/2015

City

TOLONO

State

Zip

61880

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

03/09/2015