STACEY ANN GRAVEN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209007192

License Status

INACTIVE

Business

First Name

STACEY

Middle

ANN

Last Name

GRAVEN

Business Name

STACEY ANN GRAVEN

Original Issue Date

08/07/2008

Effective Date

06/02/2020

Expiration Date

05/31/2022

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/02/2020