TRACY A SHADLEY Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****80

License Status

INACTIVE

Business

First Name

TRACY

Middle

Last Name

SHADLEY

Business Name

TRACY A SHADLEY

Original Issue Date

08/06/2018

Effective Date

09/22/2020

Expiration Date

05/31/2022

City

ELGIN

State

Zip

60123

County

KANE

Ever Disciplined

LastModifiedDate

09/22/2020