LACEY D ISOM - Registered Nurse License in Illinois | # 041393136

LACEY D ISOM

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041393136

License Status

NOT RENEWED

Business

N

First Name

LACEY

Middle

D

Last Name

ISOM

Business Name

LACEY D ISOM

Original Issue Date

06/24/2011

Effective Date

06/24/2011

Expiration Date

05/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

07/10/2012