STACY L BURCHAM Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043128401

License Status

ACTIVE

Business

First Name

STACY

Middle

Last Name

BURCHAM

Business Name

STACY L BURCHAM

Original Issue Date

01/31/2020

Effective Date

01/10/2025

Expiration Date

01/31/2027

City

CARLINVILLE

State

Zip

62626

County

MACOUPIN

Ever Disciplined

LastModifiedDate

01/10/2025