STACY J CIRCELLI Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****13

License Status

ACTIVE

Business

First Name

STACY

Middle

Last Name

CIRCELLI

Business Name

STACY J CIRCELLI

Original Issue Date

02/03/2003

Effective Date

03/13/2026

Expiration Date

05/31/2028

City

DEKALB

State

Zip

60115

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/13/2026