LACIE CHANTELLE WELLBAUM Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043124605

License Status

ACTIVE

Business

First Name

LACIE

Middle

CHANTELLE

Last Name

WELLBAUM

Business Name

LACIE CHANTELLE WELLBAUM

Original Issue Date

09/20/2017

Effective Date

02/10/2025

Expiration Date

01/31/2027

City

JEWETT

State

Zip

62436

County

CUMBERLAND

Ever Disciplined

LastModifiedDate

02/10/2025