License holder summary

Kimberly Jo Stacey is a Temporary Lpn Permit licensed to practice in Indiana. The address on file for Kimberly Jo Stacey is New Haven IL 62867. This nurse license is not current. The license was granted 06/11/2004 and expired on 09/11/2004.

Indiana

State Board of Nursing

Kimberly Jo Stacey
Temporary Lpn Permit
License number
99013068A
Date granted
06/11/2004
Date expires
09/11/2004
Class
Temporary Lpn Permit
Status
Superceded
Address
New Haven IL 62867
nursingindiana.org
ID 8260494
LAST UPDATED 2024-03-29 07:26:58 UTC

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