CRYSTAL A LACY Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****27

License Status

INACTIVE

Business

First Name

CRYSTAL

Middle

Last Name

LACY

Business Name

CRYSTAL A LACY

Original Issue Date

06/02/2022

Effective Date

03/09/2024

Expiration Date

05/31/2026

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Ever Disciplined

LastModifiedDate

12/13/2025