TRACY E CARDIN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****29

License Status

NOT RENEWED

Business

First Name

TRACY E

Last Name

CARDIN

Business Name

TRACY E CARDIN

Original Issue Date

10/10/2001

Effective Date

04/29/2021

Expiration Date

08/31/2022

State

Zip

21076

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/14/2022