ANGELA D TRACY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****17

License Status

ACTIVE

Business

First Name

ANGELA

Middle

Last Name

TRACY

Business Name

ANGELA D TRACY

Original Issue Date

10/26/2015

Effective Date

05/22/2024

Expiration Date

05/31/2026

City

MASON CITY

State

Zip

62664

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026