SEAN B STACEY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209023764

License Status

ACTIVE

Business

First Name

SEAN

Middle

Last Name

STACEY

Business Name

SEAN B STACEY

Original Issue Date

08/06/2021

Effective Date

03/09/2026

Expiration Date

05/31/2028

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

03/09/2026