| Name | IVA ELIZABETH STEPHENS |
| City/State |
| License and Registration Information | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Credential | License Type | Original Issue | Issue Date | Expiration Date | Status | Discipline | How issued | Description | |||||||
| PN.051790-MEDS | Licensed Practical Nurse - MEDS | 05/18/1976 | 04/10/2012 | 08/31/2014 | INACTIVE | Examination | |||||||||