STACY A RIVARA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****37

License Status

INACTIVE

Business

First Name

STACY

Middle

Last Name

RIVARA

Business Name

STACY A RIVARA

Original Issue Date

08/03/2016

Effective Date

05/26/2022

Expiration Date

05/31/2024

City

MORRIS

State

Zip

60450

County

GRUNDY

Ever Disciplined

LastModifiedDate

11/14/2025