STACI L BURLEYSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****00

License Status

ACTIVE

Business

First Name

STACI

Middle

Last Name

BURLEYSON

Business Name

STACI L BURLEYSON

Original Issue Date

09/17/2018

Effective Date

05/14/2024

Expiration Date

05/31/2026

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026