TRACY ANDERSEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043084141

License Status

NOT RENEWED

Business

First Name

TRACY

Last Name

ANDERSEN

Business Name

TRACY ANDERSEN

Original Issue Date

10/12/1999

Effective Date

03/07/2001

Expiration Date

01/31/2001

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

10/21/2005