TRACEY A ODISHOO Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****83

License Status

NOT RENEWED

Business

First Name

TRACEY

Middle

Last Name

ODISHOO

Business Name

TRACEY A ODISHOO

Original Issue Date

09/12/2001

Effective Date

05/11/2016

Expiration Date

05/31/2018

City

WOODSTOCK

State

Zip

60098

County

MCHENRY

Ever Disciplined

LastModifiedDate

07/19/2018