JACQUELINE A STARK Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209007368

License Status

ACTIVE

Business

First Name

JACQUELINE

Middle

Last Name

STARK

Business Name

JACQUELINE A STARK

Original Issue Date

12/04/2008

Effective Date

05/02/2024

Expiration Date

05/31/2026

City

DELAVAN

State

Zip

53115

Ever Disciplined

LastModifiedDate

03/02/2026