ELIZABETH M 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

ELIZABETH

Middle

Last Name

GRAY

Business Name

ELIZABETH M GRAY

Original Issue Date

11/12/2023

Effective Date

05/07/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61107

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026