KEYA MONIKE LACKEY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****35

License Status

ACTIVE

Business

First Name

KEYA

Middle

MONIKE

Last Name

LACKEY

Business Name

KEYA MONIKE LACKEY

Original Issue Date

11/13/2023

Effective Date

03/24/2026

Expiration Date

05/31/2028

City

CHICAGO

State

Zip

60605

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/24/2026