TRACY L NEIDETCHER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041304036

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

Last Name

NEIDETCHER

Business Name

TRACY L NEIDETCHER

Original Issue Date

08/01/1997

Effective Date

08/01/1997

Expiration Date

05/31/2000

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

09/27/2006