TIMOTHY J STACY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****67

License Status

ACTIVE

Business

First Name

TIMOTHY

Middle

Last Name

STACY

Business Name

TIMOTHY J STACY

Original Issue Date

01/15/2025

Effective Date

03/12/2026

Expiration Date

05/31/2028

City

JOLIET

State

Zip

60435

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/12/2026