Stacey Michelle Hickie
ExpiredCalifornia license 629578
License
- Licensed by
- California Board of Registered Nursing
- License number
- 629578
- Status
- Expired (Delinquent)
- First issued
- November 25, 2003
- Expired
- July 31, 2005
- License holder
- Stacey Michelle Hickie
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
17715 96th Ave N
Maple Grove, MN 55311
Maple Grove, MN 55311
Hennepin County