ELIVE STANLY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****82

License Status

ACTIVE

Business

First Name

ELIVE

Last Name

STANLY

Business Name

ELIVE STANLY

Original Issue Date

01/28/2026

Effective Date

01/28/2026

Expiration Date

05/31/2026

City

PORT MATILDA

State

Zip

16870

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026