AMBER RENEE STALLARD Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****27

License Status

NOT RENEWED

Business

First Name

AMBER

Middle

RENEE

Last Name

STALLARD

Business Name

AMBER RENEE STALLARD

Original Issue Date

02/18/2009

Effective Date

07/11/2022

Expiration Date

06/30/2024

City

CARBONDALE

State

Zip

62901

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

02/05/2025