LACEY M MANIMALA Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041447143

License Status

ACTIVE

Business

First Name

LACEY

Middle

Last Name

MANIMALA

Business Name

LACEY M MANIMALA

Original Issue Date

10/13/2016

Effective Date

04/15/2024

Expiration Date

05/31/2026

City

OAK PARK

State

Zip

60304

Ever Disciplined

LastModifiedDate

03/01/2026