TRACY L DYSARD Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209002141

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

Last Name

DYSARD

Business Name

TRACY L DYSARD

Original Issue Date

07/02/2001

Effective Date

05/07/2020

Expiration Date

08/31/2022

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

10/14/2022