TRACI SUMER KNIERIM Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****00

License Status

ACTIVE

Business

First Name

TRACI

Middle

SUMER

Last Name

KNIERIM

Business Name

TRACI SUMER KNIERIM

Original Issue Date

11/20/2023

Effective Date

03/02/2026

Expiration Date

05/31/2028

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026