MARY SHANNON STACY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041340164

License Status

NOT RENEWED

Business

First Name

MARY

Middle

SHANNON

Last Name

STACY

Business Name

MARY SHANNON STACY

Original Issue Date

06/03/2004

Effective Date

03/19/2018

Expiration Date

09/30/2020

City

GOSHEN

State

Zip

40026

County

KENTUCKY

Ever Disciplined

LastModifiedDate

01/14/2021