ANDY J TRACY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****15

License Status

ACTIVE

Business

First Name

ANDY

Middle

Last Name

TRACY

Business Name

ANDY J TRACY

Original Issue Date

04/23/2015

Effective Date

03/18/2026

Expiration Date

05/31/2028

City

TULSA

State

Zip

74133

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/18/2026