TRACY L REATHERFORD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043071685

License Status

NOT RENEWED

Business

First Name

TRACY L

Last Name

REATHERFORD

Business Name

TRACY L REATHERFORD

Original Issue Date

03/27/1992

Effective Date

04/23/2002

Expiration Date

01/31/2001

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

10/15/2005

Case Number

2000002045

Action

Suspension

Discipline Start Date

04/23/2002

Discipline Reason

Diverted medication for self-use from Aspen Ridge Care Center in Decatur and Prairie View Nursing Home.