TRACY A ELLINGSON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041321930

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

Last Name

ELLINGSON

Business Name

TRACY A ELLINGSON

Original Issue Date

09/21/2000

Effective Date

09/21/2000

Expiration Date

05/31/2004

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

10/09/2006