TRACY A SHADLEY Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209017509

License Status

INACTIVE

Business

First Name

TRACY

Middle

Last Name

SHADLEY

Business Name

TRACY A SHADLEY

Original Issue Date

04/18/2018

Effective Date

09/22/2020

Expiration Date

05/31/2022

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/22/2020