STEPHANIE A LACKEY Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041303458

License Status

INACTIVE

Business

First Name

STEPHANIE

Middle

Last Name

LACKEY

Business Name

STEPHANIE A LACKEY

Original Issue Date

06/18/1997

Effective Date

06/18/1997

Expiration Date

05/31/2004

City

RIO RANCHE

State

Zip

87144

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

10/09/2006