TRACY E THOM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041428156

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

Last Name

THOM

Business Name

TRACY E THOM

Original Issue Date

03/04/2015

Effective Date

04/10/2018

Expiration Date

09/30/2020

City

ROUND LAKE

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

01/14/2021