STACY A AUSTGEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043080622

License Status

NOT RENEWED

Business

First Name

STACY

Middle

Last Name

AUSTGEN

Business Name

STACY A AUSTGEN

Original Issue Date

03/11/1997

Expiration Date

01/31/1999

City

CROWN POINT

State

Zip

46307

Ever Disciplined

LastModifiedDate

10/21/2005