TRACY L THOME Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043088714

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

Last Name

THOME

Business Name

TRACY L THOME

Original Issue Date

08/13/2003

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

IPAVA

State

Zip

61441

Ever Disciplined

LastModifiedDate

10/21/2005