Timothy J Stacy
ActiveCalifornia license 15005
License
- Licensed by
- California Board of Registered Nursing
- License number
- 15005
- Status
- Active (Current)
- First issued
- July 27, 2004
- Expires
- November 30, 2028
- License holder
- Timothy J Stacy
- Entity type
- Individual
Classifications
- Nurse Practitioner Nursing
More from the license record
- License type code
- 4004
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Contact
5268 Huckleberry Oak St
Simi Valley, CA 93063-4503
Simi Valley, CA 93063-4503
Ventura County