STACEY L DAVIS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****32

License Status

INACTIVE

Business

First Name

STACEY

Middle

Last Name

DAVIS

Business Name

STACEY L DAVIS

Original Issue Date

01/13/2021

Effective Date

05/11/2022

Expiration Date

05/31/2024

City

OAK PARK

State

Zip

60301

County

COOK

Ever Disciplined

LastModifiedDate

03/31/2023