MARY K LACKMAN Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041309536

License Status

ACTIVE

Business

First Name

MARY

Middle

Last Name

LACKMAN

Business Name

MARY K LACKMAN

Original Issue Date

07/21/1998

Effective Date

04/25/2024

Expiration Date

05/31/2026

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

02/28/2026