LACEY ANN KLAG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043108575

License Status

NOT RENEWED

Business

First Name

LACEY

Middle

ANN

Last Name

KLAG

Business Name

LACEY ANN KLAG

Original Issue Date

08/24/2009

Effective Date

11/29/2010

Expiration Date

01/31/2013

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

03/20/2013