STACY DAVIS BAUR Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****74

License Status

ACTIVE

Business

First Name

STACY

Middle

DAVIS

Last Name

BAUR

Business Name

STACY DAVIS BAUR

Original Issue Date

09/05/2024

Effective Date

09/05/2024

Expiration Date

05/31/2026

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026