TRACY L VANAPELDOORN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****20

License Status

ACTIVE

Business

First Name

TRACY

Middle

Last Name

VANAPELDOORN

Business Name

TRACY L VANAPELDOORN

Original Issue Date

05/09/2023

Effective Date

04/16/2024

Expiration Date

05/31/2026

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026