STACEY A VANPUTTEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041340330

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

VANPUTTEN

Business Name

STACEY A VANPUTTEN

Original Issue Date

06/16/2004

Effective Date

06/16/2004

Expiration Date

05/31/2008

City

ELKHART

State

Zip

46516

County

INDIANA

Ever Disciplined

LastModifiedDate

07/11/2008