LACY J NICHOLS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****23

License Status

ACTIVE

Business

First Name

LACY

Middle

Last Name

NICHOLS

Business Name

LACY J NICHOLS

Original Issue Date

12/13/2023

Effective Date

04/01/2024

Expiration Date

05/31/2026

City

QUINCY

State

Zip

62301

County

ADAMS

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026