MARY A LACEFIELD Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041221203

License Status

INACTIVE

Business

First Name

MARY A

Last Name

LACEFIELD

Business Name

MARY A LACEFIELD

Original Issue Date

12/08/1983

Effective Date

03/05/2010

Expiration Date

05/31/2012

City

HOPEDALE

State

Zip

61747

County

TAZEWELL

Ever Disciplined

LastModifiedDate

03/08/2012