SUSAN ELAINE STACEY Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043127465

License Status

ACTIVE

Business

First Name

SUSAN

Middle

ELAINE

Last Name

STACEY

Business Name

SUSAN ELAINE STACEY

Original Issue Date

07/30/2019

Effective Date

01/20/2025

Expiration Date

01/31/2027

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

01/20/2025