AMY LYNN STACEY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007306

License Status

ACTIVE

Business

First Name

AMY

Middle

LYNN

Last Name

STACEY

Business Name

AMY LYNN STACEY

Original Issue Date

09/26/2019

Effective Date

02/23/2026

Expiration Date

03/01/2028

City

MARION

State

Zip

62959

Ever Disciplined

LastModifiedDate

02/23/2026