LACY B BEARD Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****12

License Status

INACTIVE

Business

First Name

LACY

Middle

Last Name

BEARD

Business Name

LACY B BEARD

Original Issue Date

08/07/2009

Effective Date

03/19/2020

Expiration Date

05/31/2022

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

03/18/2020