STACEY JAYE CARTER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****65

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

JAYE

Last Name

CARTER

Business Name

STACEY JAYE CARTER

Original Issue Date

09/13/2017

Effective Date

06/01/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60618

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021