TRACEY A ODISHOO Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****74

License Status

INACTIVE

Business

First Name

TRACEY

Middle

Last Name

ODISHOO

Business Name

TRACEY A ODISHOO

Original Issue Date

05/30/2014

Effective Date

04/06/2020

Expiration Date

05/31/2022

City

WOODSTOCK

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

04/06/2020