STACIA LEIGH BLACK Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041509019

License Status

ACTIVE

Business

First Name

STACIA

Middle

LEIGH

Last Name

BLACK

Business Name

STACIA LEIGH BLACK

Original Issue Date

05/11/2021

Effective Date

10/06/2025

Expiration Date

05/31/2026

City

MULBERRY GROVE

State

Zip

62262

County

BOND

Ever Disciplined

LastModifiedDate

03/01/2026