STACEY L DAVIS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043107718

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

DAVIS

Business Name

STACEY L DAVIS

Original Issue Date

03/18/2009

Effective Date

11/08/2012

Expiration Date

01/31/2015

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/09/2015