JENIFER 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*****30

License Status

NOT RENEWED

Business

First Name

JENIFER

Middle

ANN

Last Name

GRISSOM

Business Name

JENIFER ANN GRISSOM

Original Issue Date

06/28/2022

Effective Date

06/28/2022

Expiration Date

06/30/2024

City

QUINCY

State

Zip

62301

County

ADAMS

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025