TRACEY A ODISHOO Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209003621

License Status

INACTIVE

Business

First Name

TRACEY

Middle

Last Name

ODISHOO

Business Name

TRACEY A ODISHOO

Original Issue Date

08/14/2001

Effective Date

04/06/2020

Expiration Date

05/31/2022

City

WOODSTOCK

State

Zip

60098

County

MCHENRY

Ever Disciplined

LastModifiedDate

04/06/2020