STACEY E ODDERA Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****91

License Status

INACTIVE

Business

First Name

STACEY E

Last Name

ODDERA

Business Name

STACEY E ODDERA

Original Issue Date

01/04/2022

Effective Date

03/22/2024

Expiration Date

05/31/2026

City

ANNA

State

Zip

62906

County

UNION

Ever Disciplined

LastModifiedDate

12/31/2024