TRACY J FORD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043110635

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

Last Name

FORD

Business Name

TRACY J FORD

Original Issue Date

07/26/2010

Effective Date

01/07/2011

Expiration Date

01/31/2013

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

03/20/2013