TRACY SUZANNE FALL Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041269210

License Status

INACTIVE

Business

First Name

TRACY SUZANNE

Last Name

FALL

Business Name

TRACY SUZANNE FALL

Original Issue Date

09/11/1992

Effective Date

09/11/1992

Expiration Date

05/31/1996

City

ELKHART

State

Zip

46516

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006