TRACY SCOTT FAIRMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041187473

License Status

NOT RENEWED

Business

First Name

TRACY SCOTT

Last Name

FAIRMAN

Business Name

TRACY SCOTT FAIRMAN

Original Issue Date

05/07/1979

Effective Date

03/26/2020

Expiration Date

08/31/2022

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

10/14/2022