DALLAS LOUIS STALEY Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209031099

License Status

INACTIVE

Business

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

City

ATLANTA

State

Zip

31126

Ever Disciplined

LastModifiedDate

02/15/2025