TRACY R CROSS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043079984

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

Last Name

CROSS

Business Name

TRACY R CROSS

Original Issue Date

10/29/1996

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

DANVILLE

State

Zip

61834

County

VERMILION

Ever Disciplined

LastModifiedDate

10/15/2005