TRACI M DIGVONNI Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****25

License Status

ACTIVE

Business

First Name

TRACI

Middle

Last Name

DIGVONNI

Business Name

TRACI M DIGVONNI

Original Issue Date

09/14/2016

Effective Date

03/25/2026

Expiration Date

05/31/2028

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/25/2026