STACIA A DENNISON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****83

License Status

ACTIVE

Business

First Name

STACIA

Middle

Last Name

DENNISON

Business Name

STACIA A DENNISON

Original Issue Date

03/23/2017

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2026