MARY EDITH LACY Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041343647

License Status

INACTIVE

Business

First Name

MARY

Middle

EDITH

Last Name

LACY

Business Name

MARY EDITH LACY

Original Issue Date

11/10/2004

Effective Date

11/10/2004

Expiration Date

05/31/2006

City

SIOUX CITY

State

Zip

51106

County

IOWA

Ever Disciplined

LastModifiedDate

10/09/2006