LACEY J YOUHAS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****34

License Status

NOT RENEWED

Business

First Name

LACEY

Middle

Last Name

YOUHAS

Business Name

LACEY J YOUHAS

Original Issue Date

04/15/2019

Effective Date

05/21/2022

Expiration Date

06/30/2024

City

HILLSDALE

State

Zip

47854

County

CHAMPAIGN

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/05/2025