LACEY D ISOM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041393136

License Status

NOT RENEWED

Business

First Name

LACEY

Middle

Last Name

ISOM

Business Name

LACEY D ISOM

Original Issue Date

06/24/2011

Effective Date

06/24/2011

Expiration Date

05/31/2012

City

GLASFORD

State

Zip

61533

County

PEORIA

Ever Disciplined

LastModifiedDate

07/10/2012