TRACY M PACKER Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209018658

License Status

ACTIVE

Business

First Name

TRACY

Middle

Last Name

PACKER

Business Name

TRACY M PACKER

Original Issue Date

01/18/2019

Effective Date

04/29/2024

Expiration Date

05/31/2026

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/02/2026