TRACY ANN CUSHING Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****79

License Status

INACTIVE

Business

First Name

TRACY

Middle

ANN

Last Name

CUSHING

Business Name

TRACY ANN CUSHING

Original Issue Date

07/07/2021

Effective Date

05/04/2022

Expiration Date

05/31/2024

City

OFALLON

State

Zip

63368

County

MADISON

Ever Disciplined

LastModifiedDate

05/04/2022