TRACIE R KELLY Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209020815

License Status

INACTIVE

Business

First Name

TRACIE R

Last Name

KELLY

Business Name

TRACIE R KELLY

Original Issue Date

02/06/2020

Effective Date

03/21/2024

Expiration Date

05/31/2026

City

MENDOTA

State

Zip

61342

County

LA SALLE

Ever Disciplined

LastModifiedDate

05/15/2025