TRACY E COUNTRYMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041347927

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

Last Name

COUNTRYMAN

Business Name

TRACY E COUNTRYMAN

Original Issue Date

08/17/2005

Effective Date

08/17/2005

Expiration Date

05/31/2008

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

07/11/2008