RANDALL J GRAY Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****06

License Status

INACTIVE

Business

First Name

RANDALL

Middle

Last Name

GRAY

Business Name

RANDALL J GRAY

Original Issue Date

09/17/2014

Effective Date

04/06/2020

Expiration Date

05/31/2022

City

DOWNERS GROVE

State

Zip

60515

County

COOK

Ever Disciplined

LastModifiedDate

04/06/2020