AMY L STAKER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****77

License Status

ACTIVE

Business

First Name

AMY

Middle

Last Name

STAKER

Business Name

AMY L STAKER

Original Issue Date

02/20/2013

Effective Date

05/02/2024

Expiration Date

05/31/2026

City

YORKVILLE

State

Zip

60560

County

LA SALLE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026