CRYSTAL A LACY

Business Entity
ACTIVE

Advanced Practice Nurse

FULL PRACTICE AUTHORITY APRN CONTROL SUB

37*****74

ACTIVE

N

CRYSTAL

A

LACY

CRYSTAL A LACY

12/13/2025

03/03/2026

05/31/2028

OAK LAWN

IL

60453

COOK

N

03/03/2026