TRACY L KESINGER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****38

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

Last Name

KESINGER

Business Name

TRACY L KESINGER

Original Issue Date

03/19/2008

Effective Date

04/20/2018

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021