LINDA L GRANT Advanced Practice Nurse License verification

Business Entity

CANCELLED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****21

License Status

CANCELLED

Business

First Name

LINDA L

Last Name

GRANT

Business Name

LINDA L GRANT

Original Issue Date

07/29/2005

Effective Date

07/29/2005

Expiration Date

05/31/2006

City

ROCK FALLS

State

Zip

61071

County

WHITESIDE

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

09/28/2006