TRACEY A ANTLE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209004370

License Status

NOT RENEWED

Business

First Name

TRACEY

Middle

Last Name

ANTLE

Business Name

TRACEY A ANTLE

Original Issue Date

07/01/2002

Effective Date

05/29/2020

Expiration Date

08/31/2022

City

DALZELL

State

Zip

61320

County

BUREAU

Ever Disciplined

LastModifiedDate

10/14/2022