STACY R MARRIOTT Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN CONTROL SUB

License Number

37*****53

License Status

ACTIVE

Business

First Name

STACY

Middle

Last Name

MARRIOTT

Business Name

STACY R MARRIOTT

Original Issue Date

08/01/2022

Effective Date

05/05/2024

Expiration Date

05/31/2026

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

03/02/2026