DALLAS LOUIS STALEY - Advanced Practice Nurse License in Georgia | # 209031099

DALLAS LOUIS STALEY

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209031099

License Status

INACTIVE

Business

N

First Name

DALLAS

Middle

LOUIS

Last Name

STALEY

Business Name

DALLAS LOUIS STALEY

Original Issue Date

11/18/2024

Effective Date

11/18/2024

Expiration Date

05/31/2026

State

GA

Ever Disciplined

N

LastModifiedDate

02/15/2025