JACKLYN KAY STANLEY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****14

License Status

ACTIVE

Business

First Name

JACKLYN

Middle

KAY

Last Name

STANLEY

Business Name

JACKLYN KAY STANLEY

Original Issue Date

01/08/2022

Effective Date

03/05/2026

Expiration Date

05/31/2028

City

FLORA

State

Zip

62839

County

CLAY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/05/2026