TRACY ANN IVERSEN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209029712

License Status

ACTIVE

Business

First Name

TRACY

Middle

ANN

Last Name

IVERSEN

Business Name

TRACY ANN IVERSEN

Original Issue Date

05/14/2024

Effective Date

05/14/2024

Expiration Date

05/31/2026

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

03/02/2026