STACEY LEA WARD Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209012973

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

LEA

Last Name

WARD

Business Name

STACEY LEA WARD

Original Issue Date

07/23/2015

Effective Date

05/07/2022

Expiration Date

06/30/2024

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

02/05/2025