STACIE S SPROUT Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041432373

License Status

ACTIVE

Business

First Name

STACIE

Middle

Last Name

SPROUT

Business Name

STACIE S SPROUT

Original Issue Date

07/16/2015

Effective Date

05/01/2024

Expiration Date

05/31/2026

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

02/28/2026