LACEY ANN MOFFITT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043106843

License Status

NOT RENEWED

Business

First Name

LACEY

Middle

ANN

Last Name

MOFFITT

Business Name

LACEY ANN MOFFITT

Original Issue Date

10/14/2008

Effective Date

01/15/2009

Expiration Date

01/31/2011

City

INA

State

Zip

62846

County

JEFFERSON

Ever Disciplined

LastModifiedDate

03/10/2011