STACY A RIVARA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209014436

License Status

INACTIVE

Business

First Name

STACY

Middle

Last Name

RIVARA

Business Name

STACY A RIVARA

Original Issue Date

07/07/2016

Effective Date

05/26/2022

Expiration Date

05/31/2024

City

MORRIS

State

Zip

60450

County

GRUNDY

Ever Disciplined

LastModifiedDate

03/31/2023