NameTRACI CAROL WILSON
City/State

License and Registration Information
CredentialLicense TypeOriginal IssueIssue DateExpiration DateStatusDisciplineHow issuedDescription
MA-C.00250- Medication Aide Certified 08/30/2012 03/03/2014 04/30/2016 ACTIVE
PN.158944-M-IV Licensed Practical Nurse - M-IV 03/31/2015 03/31/2015 08/31/2016 ACTIVE Examination

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