STACEY L WOODMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043087455

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

WOODMAN

Business Name

STACEY L WOODMAN

Original Issue Date

06/26/2002

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

JANESVILLE

State

Zip

53548

Ever Disciplined

LastModifiedDate

10/21/2005