COMFORT O LACY Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****01

License Status

NOT RENEWED

Business

First Name

COMFORT

Middle

Last Name

LACY

Business Name

COMFORT O LACY

Original Issue Date

01/29/2019

Effective Date

08/06/2022

Expiration Date

05/31/2022

City

MATTOON

State

Zip

61938

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2022