TRACY L MAYBERRY Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043081245

License Status

INACTIVE

Business

First Name

TRACY

Middle

Last Name

MAYBERRY

Business Name

TRACY L MAYBERRY

Original Issue Date

09/15/1997

Effective Date

01/21/2005

Expiration Date

01/31/2005

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

10/15/2005