STACEY A WHALEN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****79

License Status

NOT RENEWED

Business

First Name

STACEY A

Last Name

WHALEN

Business Name

STACEY A WHALEN

Original Issue Date

04/24/2003

Effective Date

04/24/2003

Expiration Date

05/31/2006

City

SPRINGFIELD

State

Zip

62769

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/09/2006