TRACEY LEA FERGUSON Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****47

License Status

ACTIVE

Business

First Name

TRACEY

Middle

LEA

Last Name

FERGUSON

Business Name

TRACEY LEA FERGUSON

Original Issue Date

12/26/2025

Effective Date

12/26/2025

Expiration Date

05/31/2026

City

OLNEY

State

Zip

62450

County

RICHLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026