MARY J LACEY Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041304830

License Status

INACTIVE

Business

First Name

MARY

Middle

Last Name

LACEY

Business Name

MARY J LACEY

Original Issue Date

08/18/1997

Effective Date

05/04/2022

Expiration Date

05/31/2024

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

04/05/2024