STACEY L MANK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041292389

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

MANK

Business Name

STACEY L MANK

Original Issue Date

09/18/1995

Effective Date

09/18/1995

Expiration Date

05/31/2002

City

INDIANAPOLIS

State

Zip

46217

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006