TRACY L SHELLHORN 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

TRACY L

Last Name

SHELLHORN

Business Name

TRACY L SHELLHORN

Original Issue Date

03/30/2023

Effective Date

04/02/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61103

County

IOWA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026