STACEY R CRUMBO Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041300418

License Status

NOT RENEWED

Business

First Name

STACEY R

Last Name

CRUMBO

Business Name

STACEY R CRUMBO

Original Issue Date

10/02/1996

Effective Date

07/02/2010

Expiration Date

05/31/2012

City

INDIANAPOLIS

State

Zip

46203

County

INDIANA

Ever Disciplined

LastModifiedDate

07/10/2012