TRACY L ICENOGLE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043069173

License Status

NOT RENEWED

Business

First Name

TRACY L

Last Name

ICENOGLE

Business Name

TRACY L ICENOGLE

Original Issue Date

12/21/1990

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

ARCOLA

State

Zip

61910

County

DOUGLAS

Ever Disciplined

LastModifiedDate

10/15/2005