TRACY DAWN ARNOLD Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****43

License Status

INACTIVE

Business

First Name

TRACY

Middle

DAWN

Last Name

ARNOLD

Business Name

TRACY DAWN ARNOLD

Original Issue Date

05/30/2017

Effective Date

08/15/2018

Expiration Date

09/30/2020

City

CENTRALIA

State

Zip

62801

County

CLINTON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/19/2018