JEAN MISICKO STACY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041136441

License Status

NOT RENEWED

Business

First Name

JEAN MISICKO

Last Name

STACY

Business Name

JEAN MISICKO STACY

Original Issue Date

08/26/1970

Effective Date

08/26/1970

City

GARY

State

Zip

64212

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006