TRACY L NOVAK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041392751

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

Last Name

NOVAK

Business Name

TRACY L NOVAK

Original Issue Date

06/06/2011

Effective Date

05/02/2016

Expiration Date

05/31/2018

City

WALKERTON

State

Zip

46574

County

INDIANA

Ever Disciplined

LastModifiedDate

07/19/2018