TRACY A MCDERMOTT TREVINO Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****42

License Status

ACTIVE

Business

First Name

TRACY

Middle

Last Name

MCDERMOTT TREVINO

Business Name

TRACY A MCDERMOTT TREVINO

Original Issue Date

01/17/2019

Effective Date

04/08/2024

Expiration Date

05/31/2026

City

ORLAND PARK

State

Zip

60467

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026