DIANA MARIE TRACY Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041136202

License Status

INACTIVE

Business

First Name

DIANA MARIE

Last Name

TRACY

Business Name

DIANA MARIE TRACY

Original Issue Date

08/26/1970

Effective Date

04/07/2010

Expiration Date

05/31/2012

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

03/08/2012