STACEY R HALL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041330380

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

HALL

Business Name

STACEY R HALL

Original Issue Date

06/13/2002

Effective Date

09/23/2020

Expiration Date

08/31/2022

City

SOUTH BEND

State

Zip

46614

County

INDIANA

Ever Disciplined

LastModifiedDate

10/14/2022