TRACY LYNN JESSEN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****57

License Status

NOT RENEWED

Business

First Name

TRACY LYNN

Last Name

JESSEN

Business Name

TRACY LYNN JESSEN

Original Issue Date

03/22/2004

Effective Date

05/26/2010

Expiration Date

05/31/2012

City

ARVADA

State

Zip

80005

County

JEFFERSON

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

07/10/2012