TRACIE A HOLBERT Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****08

License Status

ACTIVE

Business

First Name

TRACIE

Middle

Last Name

HOLBERT

Business Name

TRACIE A HOLBERT

Original Issue Date

07/08/2019

Effective Date

04/29/2024

Expiration Date

05/31/2026

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026