TRACIE E CLISBY Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****87

License Status

INACTIVE

Business

First Name

TRACIE

Middle

Last Name

CLISBY

Business Name

TRACIE E CLISBY

Original Issue Date

03/28/2012

Effective Date

05/04/2022

Expiration Date

05/31/2024

City

CHICAGO

State

Zip

60680

Ever Disciplined

LastModifiedDate

05/04/2022