STACY ANN WITHROW Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043126132

License Status

NOT RENEWED

Business

First Name

STACY

Middle

ANN

Last Name

WITHROW

Business Name

STACY ANN WITHROW

Original Issue Date

09/21/2018

Effective Date

01/23/2019

Expiration Date

01/31/2021

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Ever Disciplined

LastModifiedDate

03/11/2021