LACIE M DRISCOL Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****28

License Status

ACTIVE

Business

First Name

LACIE

Middle

Last Name

DRISCOL

Business Name

LACIE M DRISCOL

Original Issue Date

06/25/2025

Effective Date

06/25/2025

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026