TRACY L MARTIN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043087952

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

Last Name

MARTIN

Business Name

TRACY L MARTIN

Original Issue Date

10/31/2002

Effective Date

01/07/2005

Expiration Date

01/31/2007

City

WATSEKA

State

Zip

60970

County

IROQUOIS

Ever Disciplined

LastModifiedDate

03/16/2007