STACEY ANN GRAVEN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN

License Number

277001866

License Status

ACTIVE

Business

First Name

STACEY

Middle

ANN

Last Name

GRAVEN

Business Name

STACEY ANN GRAVEN

Original Issue Date

03/30/2022

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/02/2026