STACEY ALAINE CARROLL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043114388

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

ALAINE

Last Name

CARROLL

Business Name

STACEY ALAINE CARROLL

Original Issue Date

02/23/2012

Effective Date

01/20/2015

Expiration Date

01/31/2017

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

03/27/2017