KELLIE A. LACKEY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041478463

License Status

NOT RENEWED

Business

First Name

KELLIE

Middle

Last Name

LACKEY

Business Name

KELLIE A. LACKEY

Original Issue Date

04/23/2019

Effective Date

09/24/2020

Expiration Date

08/31/2022

City

CLEMMONS

State

Zip

27012

Ever Disciplined

LastModifiedDate

10/14/2022