ANDREW T LACEK Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041407123

License Status

INACTIVE

Business

First Name

ANDREW

Middle

Last Name

LACEK

Prefix

Business Name

ANDREW T LACEK

Original Issue Date

11/13/2012

Effective Date

09/14/2020

Expiration Date

08/31/2022

City

SPRINGFIELD

State

Zip

65807

Ever Disciplined

LastModifiedDate

06/02/2022