TRACY LYNN JESSEN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****76

License Status

NOT RENEWED

Business

First Name

TRACY LYNN

Last Name

JESSEN

Business Name

TRACY LYNN JESSEN

Original Issue Date

04/30/2004

Effective Date

04/30/2004

Expiration Date

05/31/2006

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/09/2006