TRACIE E CLISBY Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209009319

License Status

INACTIVE

Business

First Name

TRACIE

Middle

Last Name

CLISBY

Business Name

TRACIE E CLISBY

Original Issue Date

12/19/2011

Effective Date

06/23/2022

Expiration Date

05/31/2024

City

CHICAGO

State

Zip

60680

Ever Disciplined

LastModifiedDate

07/14/2022