STACEY M LAZENBY Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209034487

License Status

INACTIVE

Business

First Name

STACEY

Middle

Last Name

LAZENBY

Business Name

STACEY M LAZENBY

Original Issue Date

01/16/2026

Effective Date

01/16/2026

Expiration Date

05/31/2026

City

SAN FRANCISCO

State

Zip

94111

Ever Disciplined

LastModifiedDate

01/16/2026