STACEY A WHALEN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209000702

License Status

NOT RENEWED

Business

First Name

STACEY A

Last Name

WHALEN

Business Name

STACEY A WHALEN

Original Issue Date

06/08/2001

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Ever Disciplined

LastModifiedDate

08/11/2010