COMFORT O LACY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****05

License Status

ACTIVE

Business

First Name

COMFORT

Middle

Last Name

LACY

Business Name

COMFORT O LACY

Original Issue Date

01/27/2020

Effective Date

05/29/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61104

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026