TRACEY DELORIS BERRY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043082260

License Status

NOT RENEWED

Business

First Name

TRACEY

Middle

DELORIS

Last Name

BERRY

Business Name

TRACEY DELORIS BERRY

Original Issue Date

05/06/1998

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

COLLINSVILLE

State

Zip

62234

Ever Disciplined

LastModifiedDate

10/15/2005