CRYSTAL A LACY Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209023978

License Status

INACTIVE

Business

First Name

CRYSTAL

Middle

Last Name

LACY

Business Name

CRYSTAL A LACY

Original Issue Date

09/08/2021

Effective Date

03/11/2024

Expiration Date

05/31/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

12/13/2025