STACEY MONIQUE FAGAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041512619

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

MONIQUE

Last Name

FAGAN

Business Name

STACEY MONIQUE FAGAN

Original Issue Date

07/21/2021

Effective Date

10/01/2022

Expiration Date

06/30/2024

City

SILVER SPRING

State

Zip

20904

Ever Disciplined

LastModifiedDate

02/05/2025