MARY K LACKMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043048798

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

LACKMAN

Business Name

MARY K LACKMAN

Original Issue Date

01/07/1980

Expiration Date

01/31/1999

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/27/2005