TRACY CORNELIA SMITH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****49

License Status

ACTIVE

Business

First Name

TRACY

Middle

CORNELIA

Last Name

SMITH

Business Name

TRACY CORNELIA SMITH

Original Issue Date

01/23/2026

Effective Date

01/23/2026

Expiration Date

05/31/2026

City

COLUMBIA

State

Zip

62236

County

MONROE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026