LACY SMITH Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****37

License Status

ACTIVE

Business

First Name

LACY

Last Name

SMITH

Business Name

LACY SMITH

Original Issue Date

05/25/2016

Effective Date

05/08/2024

Expiration Date

05/31/2026

City

WESTVILLE

State

Zip

61883

County

VERMILION

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/02/2026