STACY ELISE BLAKE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041509363

License Status

ACTIVE

Business

First Name

STACY

Middle

ELISE

Last Name

BLAKE

Business Name

STACY ELISE BLAKE

Original Issue Date

05/20/2021

Effective Date

05/08/2024

Expiration Date

05/31/2026

City

BUCKINGHAM

State

Zip

60917

Ever Disciplined

LastModifiedDate

03/01/2026