MORGAN E GROTHAUS Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****03

License Status

INACTIVE

Business

First Name

MORGAN

Middle

Last Name

GROTHAUS

Business Name

MORGAN E GROTHAUS

Original Issue Date

03/01/2022

Effective Date

03/01/2022

Expiration Date

05/31/2024

City

GILLESPIE

State

Zip

62033

County

MACOUPIN

Ever Disciplined

LastModifiedDate

03/06/2022