TRACY LYNNE GROOMS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041296648

License Status

NOT RENEWED

Business

First Name

TRACY LYNNE

Last Name

GROOMS

Business Name

TRACY LYNNE GROOMS

Original Issue Date

05/01/1996

Effective Date

05/01/1996

Expiration Date

05/31/1998

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

09/27/2006