TRACI L HARRIS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****57

License Status

ACTIVE

Business

First Name

TRACI

Middle

Last Name

HARRIS

Business Name

TRACI L HARRIS

Original Issue Date

06/28/2006

Effective Date

04/03/2024

Expiration Date

05/31/2026

City

OSWEGO

State

Zip

60543

County

KENDALL

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026