MIRJANA A LACKA Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043122464

License Status

NOT RENEWED

Business

First Name

MIRJANA

Middle

Last Name

LACKA

Business Name

MIRJANA A LACKA

Original Issue Date

05/12/2016

Effective Date

01/14/2019

Expiration Date

01/31/2021

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

03/11/2021