TRACY M PACKER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****08

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

Last Name

PACKER

Business Name

TRACY M PACKER

Original Issue Date

09/25/2019

Effective Date

04/29/2024

Expiration Date

06/30/2024

City

BURR RIDGE

State

Zip

60527

County

DUPAGE

Ever Disciplined

LastModifiedDate

02/05/2025