STACY R MARRIOTT Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209019083

License Status

INACTIVE

Business

First Name

STACY

Middle

Last Name

MARRIOTT

Business Name

STACY R MARRIOTT

Original Issue Date

03/19/2019

Effective Date

05/12/2022

Expiration Date

05/31/2024

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

05/12/2022