TRACY MARIE DIETZ Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209011378

License Status

ACTIVE

Business

First Name

TRACY

Middle

MARIE

Last Name

DIETZ

Business Name

TRACY MARIE DIETZ

Original Issue Date

03/17/2014

Effective Date

04/25/2024

Expiration Date

05/31/2026

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

03/02/2026