CARRIE N STALTER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****47

License Status

ACTIVE

Business

First Name

CARRIE

Middle

Last Name

STALTER

Business Name

CARRIE N STALTER

Original Issue Date

09/29/2010

Effective Date

05/13/2024

Expiration Date

05/31/2026

City

DANVERS

State

Zip

61732

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026