LACEY D HARTMANN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043102143

License Status

NOT RENEWED

Business

First Name

LACEY

Middle

Last Name

HARTMANN

Business Name

LACEY D HARTMANN

Original Issue Date

09/11/2006

Effective Date

11/17/2008

Expiration Date

01/31/2011

City

STEELEVILLE

State

Zip

62288

County

RANDOLPH

Ever Disciplined

LastModifiedDate

03/10/2011