MARK EDWARD LACEY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041307714

License Status

NOT RENEWED

Business

First Name

MARK

Middle

EDWARD

Last Name

LACEY

Business Name

MARK EDWARD LACEY

Original Issue Date

02/20/1998

Effective Date

02/20/1998

Expiration Date

05/31/2006

City

MANDEVILLE

State

Zip

70448

County

LOUISIANA

Ever Disciplined

LastModifiedDate

10/09/2006