SUSAN M GRYZMALA Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209034622

License Status

ACTIVE

Business

First Name

SUSAN

Middle

Last Name

GRYZMALA

Business Name

SUSAN M GRYZMALA

Original Issue Date

01/29/2026

Effective Date

01/29/2026

Expiration Date

05/31/2026

City

CARBONDALE

State

Zip

62903

County

JACKSON

Ever Disciplined

LastModifiedDate

03/02/2026