LACEY M MANIMALA - Advanced Practice Nurse License in Illinois | # 209030375

LACEY M MANIMALA

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209030375

License Status

ACTIVE

Business

N

First Name

LACEY

Middle

M

Last Name

MANIMALA

Business Name

LACEY M MANIMALA

Original Issue Date

08/26/2024

Effective Date

08/26/2024

Expiration Date

05/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

03/02/2026