STACY R MARRIOTT Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN

License Number

277002128

License Status

ACTIVE

Business

First Name

STACY

Middle

Last Name

MARRIOTT

Business Name

STACY R MARRIOTT

Original Issue Date

08/01/2022

Effective Date

05/05/2024

Expiration Date

05/31/2026

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

03/02/2026