DEBRA RUTH GROMLEY Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****31

License Status

INOPERATIVE

Business

First Name

DEBRA

Middle

RUTH

Last Name

GROMLEY

Business Name

DEBRA RUTH GROMLEY

Original Issue Date

08/01/2001

Effective Date

03/12/2024

Expiration Date

05/31/2026

City

NORMAL

State

Zip

61761

County

MCLEAN

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/12/2024