KELLIE B GRAPPERHAUS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209009894

License Status

INACTIVE

Business

First Name

KELLIE B

Last Name

GRAPPERHAUS

Business Name

KELLIE B GRAPPERHAUS

Original Issue Date

10/09/2012

Effective Date

04/11/2018

Expiration Date

09/30/2020

City

PATOKA

State

Zip

62875

County

MARION

Ever Disciplined

LastModifiedDate

03/08/2020