DARIEN GRAY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****01

License Status

ACTIVE

Business

First Name

DARIEN

Last Name

GRAY

Business Name

DARIEN GRAY

Original Issue Date

07/14/2025

Effective Date

03/05/2026

Expiration Date

05/31/2028

City

BLOOMINGTON

State

Zip

61705

County

MCLEAN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/05/2026