ELLEN F LACEY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041251048

License Status

NOT RENEWED

Business

First Name

ELLEN F

Last Name

LACEY

Business Name

ELLEN F LACEY

Original Issue Date

12/13/1988

Effective Date

05/19/2014

Expiration Date

05/31/2016

City

PLEASANT PRAIRIE

State

Zip

53158

County

WISCONSIN

Ever Disciplined

LastModifiedDate

07/11/2016