TRACY M CONRAD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041239481

License Status

NOT RENEWED

Business

First Name

TRACY M

Last Name

CONRAD

Business Name

TRACY M CONRAD

Original Issue Date

09/22/1986

Effective Date

09/22/1986

Expiration Date

05/31/1990

City

IDAHO FALLS

State

Zip

83401

County

IDAHO

Ever Disciplined

LastModifiedDate

09/27/2006