JILLIAN N STACEY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043121734

License Status

NOT RENEWED

Business

First Name

JILLIAN

Middle

Last Name

STACEY

Business Name

JILLIAN N STACEY

Original Issue Date

11/04/2015

Effective Date

11/04/2015

Expiration Date

01/31/2017

City

CARRIER MILLS

State

Zip

62917

Ever Disciplined

LastModifiedDate

03/27/2017