DOMINIQUE J STOUT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043121165

License Status

NOT RENEWED

Business

First Name

DOMINIQUE

Middle

Last Name

STOUT

Business Name

DOMINIQUE J STOUT

Original Issue Date

08/10/2015

Effective Date

12/28/2020

Expiration Date

01/31/2023

City

MORRISON

State

Zip

61270

Ever Disciplined

LastModifiedDate

03/31/2023