MITZI DIANE STACY
Registered Nurse
Indiana 28123991A Expired
This Indiana license was held by MITZI DIANE STACY. The license is no longer active. It was granted on 05/10/1994 and expired on 10/31/1995
LICENSE DETAILS
- License Number: 28123991A
- Category: Registered Nurse
- Status: Expired
- Date Granted: 05/10/1994 (about 30 years ago)
- Expiry Date: 10/31/1995 (over 28 years ago)
LOCATIONS
A Address
PORTLAND OR 97219