STACEY J BENNETT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043074211

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

BENNETT

Business Name

STACEY J BENNETT

Original Issue Date

12/11/1993

Expiration Date

01/31/1995

City

ROCKWALL

State

Zip

75087

Ever Disciplined

LastModifiedDate

10/21/2005