TRACY A ANDERSEN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209002042

License Status

ACTIVE

Business

First Name

TRACY

Middle

Last Name

ANDERSEN

Business Name

TRACY A ANDERSEN

Original Issue Date

06/29/2001

Effective Date

01/24/2025

Expiration Date

05/31/2026

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/02/2026