MARCIA PERRY STOUT Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****23

License Status

NOT RENEWED

Business

First Name

MARCIA PERRY

Last Name

STOUT

Business Name

MARCIA PERRY STOUT

Original Issue Date

08/14/2015

Effective Date

08/02/2022

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60610

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025