STACY A RIVARA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN

License Number

277002555

License Status

ACTIVE

Business

First Name

STACY

Middle

Last Name

RIVARA

Business Name

STACY A RIVARA

Original Issue Date

04/04/2023

Effective Date

04/13/2024

Expiration Date

05/31/2026

City

MORRIS

State

Zip

60450

County

GRUNDY

Ever Disciplined

LastModifiedDate

03/02/2026