STACEY M MERRILL Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209020094

License Status

INACTIVE

Business

First Name

STACEY

Middle

Last Name

MERRILL

Business Name

STACEY M MERRILL

Original Issue Date

09/20/2019

Effective Date

06/01/2022

Expiration Date

05/31/2024

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

03/31/2023