LACY P EWING Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043062815

License Status

NOT RENEWED

Business

First Name

LACY P

Last Name

EWING

Business Name

LACY P EWING

Original Issue Date

02/18/1986

Effective Date

01/05/2015

Expiration Date

01/31/2017

City

DIXMOOR

State

Zip

60426

County

COOK

Ever Disciplined

LastModifiedDate

03/27/2017