TRACY LYNN CLAY Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****32

License Status

INACTIVE

Business

First Name

TRACY

Middle

LYNN

Last Name

CLAY

Business Name

TRACY LYNN CLAY

Original Issue Date

11/12/2008

Effective Date

03/08/2020

Expiration Date

05/31/2022

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

04/01/2020