STACEY M PULLIAM Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041544663

License Status

ACTIVE

Business

First Name

STACEY

Middle

Last Name

PULLIAM

Business Name

STACEY M PULLIAM

Original Issue Date

05/22/2023

Effective Date

04/04/2024

Expiration Date

05/31/2026

City

CALEDONIA

State

Zip

61101

Ever Disciplined

LastModifiedDate

03/01/2026