TRACY A CASWELL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****30

License Status

ACTIVE

Business

First Name

TRACY A

Last Name

CASWELL

Business Name

TRACY A CASWELL

Original Issue Date

02/04/2020

Effective Date

05/21/2024

Expiration Date

05/31/2026

City

SALEM

State

Zip

62881

County

MARION

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026