STACY L PICHA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041328130

License Status

NOT RENEWED

Business

First Name

STACY

Middle

Last Name

PICHA

Business Name

STACY L PICHA

Original Issue Date

12/20/2001

Effective Date

12/20/2001

Expiration Date

05/31/2004

City

LA CROSSE

State

Zip

54603

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006