LACEY D HAVLICEK Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043103299

License Status

NOT RENEWED

Business

First Name

LACEY

Middle

Last Name

HAVLICEK

Business Name

LACEY D HAVLICEK

Original Issue Date

03/28/2007

Effective Date

01/19/2017

Expiration Date

01/31/2019

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

04/02/2019