STACEY M ROGERS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****58

License Status

ACTIVE

Business

First Name

STACEY

Middle

Last Name

ROGERS

Business Name

STACEY M ROGERS

Original Issue Date

12/21/2017

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

WILLOWBROOK

State

Zip

60527

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026