Lacey Ann Moffitt
InactiveIllinois license 045004300
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 045004300
- Status
- Inactive (Cancelled)
- First issued
- October 22, 2020
- Expired
- October 22, 2021
- License holder
- Lacey Ann Moffitt
- Entity type
- Individual
Classifications
- Licensed Nursing Home Administrator Temporary Other Health Care
More from the license record
- Current term began
- 10/22/2020
Other Illinois licenses under this name
-
IL
ActiveIna, ILExpires May 31, 2028
-
IL
ExpiredIna, ILExpired Jan 31, 2011
-
IL
ActiveIna, ILExpires Nov 30, 2027
Contact
Aviston, IL 62216
Clinton County