ABAGAIL LOUISA STALCUP Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209015902

License Status

INACTIVE

Business

First Name

ABAGAIL

Middle

LOUISA

Last Name

STALCUP

Business Name

ABAGAIL LOUISA STALCUP

Original Issue Date

04/18/2017

Effective Date

09/28/2020

Expiration Date

05/31/2022

City

WATERMAN

State

Zip

60556

County

DEKALB

Ever Disciplined

LastModifiedDate

05/05/2020