SUSAN K GRAY Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****31

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

GRAY

Business Name

SUSAN K GRAY

Original Issue Date

02/19/2003

Effective Date

03/05/2010

Expiration Date

05/31/2012

City

ONARGA

State

Zip

60955

County

IROQUOIS

Ever Disciplined

LastModifiedDate

07/10/2012