LACY J NICHOLS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043103245

License Status

INACTIVE

Business

First Name

LACY

Middle

Last Name

NICHOLS

Business Name

LACY J NICHOLS

Original Issue Date

03/16/2007

Effective Date

03/16/2007

Expiration Date

01/31/2009

City

MENDON

State

Zip

62351

County

ADAMS

Ever Disciplined

LastModifiedDate

11/10/2008