License holder summary

STACY LYNN THEBARGE is a Nursing - Licensed Practical Nurse licensed to practice in Maine. The address on file for STACY LYNN THEBARGE is 12 KATANA DR, SOUTH PORTLAND, ME 04106-5528. This licensed professional license is current. The license was granted 04/23/2014 and expired on 02/02/2016.

Maine

Office of Professional and Occupational Regulation

STACY LYNN THEBARGE
Nursing - Licensed Practical Nurse
License number
LPN13628
Date granted
04/23/2014
Date expires
02/02/2016
Class
Nursing - Licensed Practical Nurse
Status
Active
Address
12 KATANA DR, SOUTH PORTLAND, ME 04106-5528
mainelicensing.org
ID 21321064
LAST UPDATED 2024-04-22 17:55:52 UTC

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