TRACI A MARTIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041344378

License Status

NOT RENEWED

Business

First Name

TRACI

Middle

Last Name

MARTIN

Business Name

TRACI A MARTIN

Original Issue Date

02/01/2005

Effective Date

04/23/2010

Expiration Date

05/31/2012

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/10/2012