STACIE A PETTY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043115528

License Status

NOT RENEWED

Business

First Name

STACIE

Middle

Last Name

PETTY

Business Name

STACIE A PETTY

Original Issue Date

09/07/2012

Effective Date

02/02/2015

Expiration Date

01/31/2017

City

ROMEOVILLE

State

Zip

60446

County

WILL

Ever Disciplined

LastModifiedDate

03/27/2017