MOLLY C GROSVENOR Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****03

License Status

ACTIVE

Business

First Name

MOLLY

Middle

Last Name

GROSVENOR

Business Name

MOLLY C GROSVENOR

Original Issue Date

09/02/2020

Effective Date

03/21/2024

Expiration Date

05/31/2026

City

MCHENRY

State

Zip

60050

County

MCHENRY

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/02/2026