MARIZONA STACEY DAHLSTROM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043124849

License Status

NOT RENEWED

Business

First Name

MARIZONA

Middle

STACEY

Last Name

DAHLSTROM

Business Name

MARIZONA STACEY DAHLSTROM

Original Issue Date

10/24/2017

Effective Date

10/24/2017

Expiration Date

01/31/2019

City

MILWAUKEE

State

Zip

53212

Ever Disciplined

LastModifiedDate

03/28/2019