ROSE Y GRUNERT Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****10

License Status

NOT RENEWED

Business

First Name

ROSE

Middle

Last Name

GRUNERT

Business Name

ROSE Y GRUNERT

Original Issue Date

07/13/2005

Effective Date

09/28/2020

Expiration Date

08/31/2022

City

BENTON

State

Zip

62812

County

FRANKLIN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022