STACI L BREWER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041392107

License Status

NOT RENEWED

Business

First Name

STACI

Middle

Last Name

BREWER

Business Name

STACI L BREWER

Original Issue Date

04/22/2011

Effective Date

04/22/2011

Expiration Date

05/31/2012

City

ROCKVILLE

State

Zip

47872

Ever Disciplined

LastModifiedDate

07/10/2012