STACEY MARIE LAKE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041406427

License Status

ACTIVE

Business

First Name

STACEY

Middle

MARIE

Last Name

LAKE

Business Name

STACEY MARIE LAKE

Original Issue Date

10/05/2012

Effective Date

06/05/2024

Expiration Date

05/31/2026

City

ST LOUIS

State

Zip

63129

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

02/28/2026