CHRISTINE LACEY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****84

License Status

ACTIVE

Business

First Name

CHRISTINE

Last Name

LACEY

Business Name

CHRISTINE LACEY

Original Issue Date

01/04/2021

Effective Date

04/22/2024

Expiration Date

05/31/2026

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026