LACEY BERLASTSKY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043126866

License Status

NOT RENEWED

Business

First Name

LACEY

Last Name

BERLASTSKY

Business Name

LACEY BERLASTSKY

Original Issue Date

02/28/2019

Effective Date

12/16/2022

Expiration Date

02/28/2025

City

CHAMPAIGN

State

Zip

61801

Ever Disciplined

LastModifiedDate

05/08/2025