ANDREA RENEE STARK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****60

License Status

ACTIVE

Business

First Name

ANDREA

Middle

RENEE

Last Name

STARK

Business Name

ANDREA RENEE STARK

Original Issue Date

09/27/2023

Effective Date

04/23/2024

Expiration Date

05/31/2026

City

ONARGA

State

Zip

60955

County

IROQUOIS

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026