TRACY L DOUGLAS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043063821

License Status

NOT RENEWED

Business

First Name

TRACY L

Last Name

DOUGLAS

Business Name

TRACY L DOUGLAS

Original Issue Date

01/17/1987

Expiration Date

01/31/1995

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

10/21/2005