STACEY ANNE SHAW Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209019812

License Status

ACTIVE

Business

First Name

STACEY

Middle

ANNE

Last Name

SHAW

Business Name

STACEY ANNE SHAW

Original Issue Date

08/09/2019

Effective Date

03/17/2026

Expiration Date

05/31/2028

City

CHICAGO

State

Zip

60654

County

COOK

Ever Disciplined

LastModifiedDate

03/17/2026