MARIAH L LACY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041448671

License Status

NOT RENEWED

Business

First Name

MARIAH

Middle

Last Name

LACY

Business Name

MARIAH L LACY

Original Issue Date

12/20/2016

Effective Date

12/20/2016

Expiration Date

05/31/2018

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/19/2018