Tracy Churchill
ExpiredCalifornia license 609104
License
- Licensed by
- California Board of Registered Nursing
- License number
- 609104
- Status
- Expired (Delinquent)
- First issued
- November 12, 2002
- Expired
- September 30, 2012
- License holder
- Tracy Churchill
- Entity type
- Individual
Classifications
- Registered Nurse Nursing
More from the license record
- License type code
- 4001
Contact
122 Boyd Circle
Michigan City, IN 46360
Michigan City, IN 46360
La Porte County