LACY J NICHOLS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209028825

License Status

ACTIVE

Business

First Name

LACY

Middle

Last Name

NICHOLS

Business Name

LACY J NICHOLS

Original Issue Date

11/16/2023

Effective Date

04/01/2024

Expiration Date

05/31/2026

City

MENDON

State

Zip

62351

County

ADAMS

Ever Disciplined

LastModifiedDate

03/02/2026