HOLLY C LACY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041326626

License Status

NOT RENEWED

Business

First Name

HOLLY

Middle

Last Name

LACY

Business Name

HOLLY C LACY

Original Issue Date

09/14/2001

Effective Date

09/14/2001

Expiration Date

05/31/2004

City

MINOOKA

State

Zip

60447

County

GRUNDY

Ever Disciplined

LastModifiedDate

10/09/2006