NANCY A LACEY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041126985

License Status

NOT RENEWED

Business

First Name

NANCY A

Last Name

LACEY

Business Name

NANCY A LACEY

Original Issue Date

08/23/1968

Effective Date

03/16/2010

Expiration Date

05/31/2012

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/10/2012