STACEY E HOLTHUS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041345856

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

HOLTHUS

Business Name

STACEY E HOLTHUS

Original Issue Date

04/19/2005

Effective Date

04/19/2005

Expiration Date

05/31/2006

City

OMAHA

State

Zip

68117

County

NEBRASKA

Ever Disciplined

LastModifiedDate

10/09/2006