LACY B BEARD Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****19

License Status

NOT RENEWED

Business

First Name

LACY

Middle

Last Name

BEARD

Business Name

LACY B BEARD

Original Issue Date

04/03/2017

Effective Date

04/03/2017

Expiration Date

05/31/2018

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/19/2018