TRACIE R STANFORD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043077929

License Status

NOT RENEWED

Business

First Name

TRACIE

Middle

Last Name

STANFORD

Business Name

TRACIE R STANFORD

Original Issue Date

09/16/1995

Expiration Date

01/31/1999

City

ELIZABETHTOWN

State

Zip

62931

County

HARDIN

Ever Disciplined

LastModifiedDate

05/27/2005