ALYSSA ANN GRISSOM Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209014163

License Status

INACTIVE

Business

First Name

ALYSSA

Middle

ANN

Last Name

GRISSOM

Business Name

ALYSSA ANN GRISSOM

Original Issue Date

03/25/2016

Effective Date

03/21/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

03/08/2020