Arizona
Board of Licensing
LACY RAE TOM
Nursing - Certified Nursing Asst
License number
CNA1000013356
Date granted
08/14/2007
Date expires
12/31/2009
Class
Nursing - Certified Nursing Asst
Status
Lapsed
arizonalicensing.com
ID 22502470
LAST UPDATED 2024-06-17 21:20:12 UTC
LAST UPDATED 2024-06-17 21:20:12 UTC