TRACEY A ANTLE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****57

License Status

NOT RENEWED

Business

First Name

TRACEY

Middle

Last Name

ANTLE

Business Name

TRACEY A ANTLE

Original Issue Date

09/27/2002

Effective Date

04/11/2012

Expiration Date

05/31/2014

City

PERU

State

Zip

61354

County

LA SALLE

Ever Disciplined

LastModifiedDate

07/03/2014