License holder summary

STACY MAE ITEN is a Nurse Registered & Licensed Practical - Rn Provisional licensed to practice in Michigan. The address on file for STACY MAE ITEN is Henderson, MN 56044. This licensed professional license is not current. The license was granted 04/23/2012 and expired on 04/23/2013.

Michigan

Department of Licensing and Regulation

STACY MAE ITEN
Nurse Registered & Licensed Practical - Rn Provisional
License number
4704291297
Date granted
04/23/2012
Date expires
04/23/2013
Class
Nurse Registered & Licensed Practical - Rn Provisional
Status
Voided
Address
Henderson, MN 56044
michiganlicensing.org
ID 25839810
LAST UPDATED 2026-06-01 13:52:50 UTC

This website is unaffiliated with the Department of Licensing and Regulation. Please verify all information directly with the relevant official government authority.

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