STEPHANIE S STIVERS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****40

License Status

ACTIVE

Business

First Name

STEPHANIE

Middle

Last Name

STIVERS

Business Name

STEPHANIE S STIVERS

Original Issue Date

12/12/2018

Effective Date

06/15/2024

Expiration Date

05/31/2026

City

TAYLORVILLE

State

Zip

62568

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026