ALEXIS R GRAVEN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****00

License Status

INACTIVE

Business

First Name

ALEXIS

Middle

Last Name

GRAVEN

Business Name

ALEXIS R GRAVEN

Original Issue Date

01/26/2018

Effective Date

05/12/2022

Expiration Date

05/31/2024

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Ever Disciplined

LastModifiedDate

05/12/2022