STACEY A WELLS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043101266

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

WELLS

Business Name

STACEY A WELLS

Original Issue Date

02/08/2006

Effective Date

02/08/2006

Expiration Date

01/31/2007

City

FORT WAYNE

State

Zip

46818

County

INDIANA

Ever Disciplined

LastModifiedDate

03/16/2007