THERESA M TRACY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041091689

License Status

NOT RENEWED

Business

First Name

THERESA M

Last Name

TRACY

Business Name

THERESA M TRACY

Original Issue Date

12/01/1958

Effective Date

12/01/1958

Expiration Date

05/31/2008

City

IVESDALE

State

Zip

61851

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/11/2008