TRACY M PACKER 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

PACKER

Business Name

TRACY M PACKER

Original Issue Date

05/29/2020

Effective Date

05/13/2024

Expiration Date

05/31/2026

City

DECATUR

State

Zip

62526

County

MACON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026