TRACIE A GROSS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043058789

License Status

NOT RENEWED

Business

First Name

TRACIE A

Last Name

GROSS

Business Name

TRACIE A GROSS

Original Issue Date

12/27/1983

Expiration Date

01/31/1987

City

WEST CHICAGO

State

Zip

60185

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/21/2005