STACIE JO CHAFFIN Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****59

License Status

INOPERATIVE

Business

First Name

STACIE

Middle

Last Name

CHAFFIN

Business Name

STACIE JO CHAFFIN

Original Issue Date

07/16/2024

Effective Date

07/16/2024

Expiration Date

05/31/2026

City

MARYVILLE

State

Zip

62062

County

MADISON

Ever Disciplined

LastModifiedDate

03/02/2026