STACEY ANN GRAVEN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****31

License Status

INACTIVE

Business

First Name

STACEY

Middle

ANN

Last Name

GRAVEN

Business Name

STACEY ANN GRAVEN

Original Issue Date

08/18/2008

Effective Date

06/02/2020

Expiration Date

05/31/2022

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/02/2020