STACEY L BOETTO Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****93

License Status

INACTIVE

Business

First Name

STACEY

Middle

Last Name

BOETTO

Business Name

STACEY L BOETTO

Original Issue Date

02/28/2018

Effective Date

02/28/2018

Expiration Date

09/30/2020

City

JOLIET

State

Zip

60435

County

WILL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/24/2018