STACY S POWELL Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209009372

License Status

INACTIVE

Business

First Name

STACY S

Last Name

POWELL

Business Name

STACY S POWELL

Original Issue Date

01/31/2012

Effective Date

05/10/2022

Expiration Date

05/31/2024

City

SANDWICH

State

Zip

60548

County

DEKALB

Ever Disciplined

LastModifiedDate

05/10/2022