TRACY ELLYN STAFFELD CUDOC Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041350134

License Status

NOT RENEWED

Business

First Name

TRACY

Middle

ELLYN

Last Name

STAFFELD CUDOC

Business Name

TRACY ELLYN STAFFELD CUDOC

Original Issue Date

11/21/2005

Effective Date

11/21/2005

Expiration Date

05/31/2008

City

MONROE

State

Zip

53566

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/11/2008