SR MARY ELLEN LACY - Nursing Home Administrator License in Illinois | # 044006023

SR MARY ELLEN LACY

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044006023

License Status

NOT RENEWED

Business

N

First Name

SR MARY

Middle

ELLEN

Last Name

LACY

Business Name

SR MARY ELLEN LACY

Original Issue Date

02/21/2002

Effective Date

01/03/2024

Expiration Date

11/30/2025

State

IL

Ever Disciplined

N

LastModifiedDate

03/05/2026