TRACY LYNN ELLSWORTH Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041320755

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

LYNN

Last Name

ELLSWORTH

Business Name

TRACY LYNN ELLSWORTH

Original Issue Date

08/15/2000

Effective Date

10/26/2016

Expiration Date

05/31/2018

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/19/2018