STACY S POWELL Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****04

License Status

NOT RENEWED

Business

First Name

STACY S

Last Name

POWELL

Business Name

STACY S POWELL

Original Issue Date

06/23/2016

Effective Date

06/23/2016

Expiration Date

05/31/2018

City

SANDWICH

State

Zip

60548

County

DEKALB

Ever Disciplined

LastModifiedDate

07/19/2018