STACY A RIVARA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN CONTROL SUB

License Number

37*****66

License Status

ACTIVE

Business

First Name

STACY

Middle

Last Name

RIVARA

Business Name

STACY A RIVARA

Original Issue Date

04/04/2023

Effective Date

04/16/2024

Expiration Date

05/31/2026

City

MORRIS

State

Zip

60450

County

GRUNDY

Ever Disciplined

LastModifiedDate

03/02/2026