TRACY ANNE BOLDT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041369934

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

ANNE

Last Name

BOLDT

Business Name

TRACY ANNE BOLDT

Original Issue Date

07/25/2008

Effective Date

03/15/2010

Expiration Date

05/31/2012

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

07/10/2012