TRACEE MAE LEAVELL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041348095

License Status

NOT RENEWED

Business

First Name

TRACEE

Middle

MAE

Last Name

LEAVELL

Business Name

TRACEE MAE LEAVELL

Original Issue Date

08/23/2005

Effective Date

08/23/2005

Expiration Date

05/31/2006

City

MESA

State

Zip

85204

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/09/2006