LACEY M MARTIN Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041343589

License Status

ACTIVE

Business

First Name

LACEY

Middle

Last Name

MARTIN

Business Name

LACEY M MARTIN

Original Issue Date

11/08/2004

Effective Date

04/13/2024

Expiration Date

05/31/2026

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

02/28/2026