TRACY L CANNON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043115450

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

Last Name

CANNON

Business Name

TRACY L CANNON

Original Issue Date

08/30/2012

Effective Date

12/05/2012

Expiration Date

01/31/2015

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Ever Disciplined

LastModifiedDate

03/09/2015