ALYSSA ANN GRISSOM Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****25

License Status

NOT RENEWED

Business

First Name

ALYSSA

Middle

ANN

Last Name

GRISSOM

Business Name

ALYSSA ANN GRISSOM

Original Issue Date

03/09/2018

Effective Date

03/09/2018

Expiration Date

09/30/2020

City

OAK LAWN

State

Zip

60453

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021