STACIE DIANE PHILLIPS Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041146066

License Status

ACTIVE

Business

First Name

STACIE DIANE

Last Name

PHILLIPS

Business Name

STACIE DIANE PHILLIPS

Original Issue Date

11/02/1972

Effective Date

03/05/2026

Expiration Date

05/31/2028

City

SAINT LOUIS

State

Zip

63123

Ever Disciplined

LastModifiedDate

03/05/2026