STACIE RENEE FULGENZI-LANE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041512907

License Status

ACTIVE

Business

First Name

STACIE

Middle

RENEE

Last Name

FULGENZI-LANE

Business Name

STACIE RENEE FULGENZI-LANE

Original Issue Date

07/23/2021

Effective Date

03/01/2026

Expiration Date

05/31/2028

City

LINDENHURST

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

03/23/2026