STACIE JO CHAFFIN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****12

License Status

INACTIVE

Business

First Name

STACIE

Middle

Last Name

CHAFFIN

Business Name

STACIE JO CHAFFIN

Original Issue Date

07/15/2023

Effective Date

03/18/2024

Expiration Date

05/31/2026

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

08/31/2025