STACEY L SCROGIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041328322

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

SCROGIN

Business Name

STACEY L SCROGIN

Original Issue Date

01/25/2002

Effective Date

01/25/2002

Expiration Date

05/31/2006

City

DEFIANCE

State

Zip

63341

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006