KATHLEEN B STUMPF Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043071204

License Status

NOT RENEWED

Business

First Name

KATHLEEN B

Last Name

STUMPF

Business Name

KATHLEEN B STUMPF

Original Issue Date

01/16/1992

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

LAPORTE

State

Zip

46350

County

INDIANA

Ever Disciplined

LastModifiedDate

10/15/2005