STACEY ANN GRAVEN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN CONTROL SUB

License Number

37*****96

License Status

ACTIVE

Business

First Name

STACEY

Middle

ANN

Last Name

GRAVEN

Business Name

STACEY ANN GRAVEN

Original Issue Date

03/30/2022

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/02/2026