SR MARY ELLEN LACY Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044006023

License Status

NOT RENEWED

Business

First Name

SR MARY

Middle

ELLEN

Last Name

LACY

Business Name

SR MARY ELLEN LACY

Original Issue Date

02/21/2002

Effective Date

01/03/2024

Expiration Date

11/30/2025

City

CHICAGO

State

Zip

60618

County

MARYLAND

Ever Disciplined

LastModifiedDate

03/05/2026