TRACEY S PEACHEY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****95

License Status

ACTIVE

Business

First Name

TRACEY

Middle

Last Name

PEACHEY

Business Name

TRACEY S PEACHEY

Original Issue Date

08/24/2024

Effective Date

03/15/2026

Expiration Date

05/31/2028

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/15/2026