LACIE ANN MARTIN Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041396892

License Status

ACTIVE

Business

First Name

LACIE

Middle

ANN

Last Name

MARTIN

Business Name

LACIE ANN MARTIN

Original Issue Date

09/20/2011

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

MUNSTER

State

Zip

46321

County

INDIANA

Ever Disciplined

LastModifiedDate

03/03/2026