TRACIE R KELLY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

FULL PRACTICE AUTHORITY APRN CONTROL SUB

License Number

37*****12

License Status

ACTIVE

Business

First Name

TRACIE R

Last Name

KELLY

Business Name

TRACIE R KELLY

Original Issue Date

05/15/2025

Effective Date

05/15/2025

Expiration Date

05/31/2026

City

MENDOTA

State

Zip

61342

County

LA SALLE

Ever Disciplined

LastModifiedDate

03/02/2026