STEPHANIE A INGRAM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041349112

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

Last Name

INGRAM

Business Name

STEPHANIE A INGRAM

Original Issue Date

09/23/2005

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

RUTHERFORD

State

Zip

07070

County

COOK

Ever Disciplined

LastModifiedDate

08/16/2010