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*****35

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

GRAY

Business Name

SUSAN K GRAY

Original Issue Date

08/01/2003

Effective Date

07/14/2008

Expiration Date

05/31/2010

City

ONARGA

State

Zip

60955

County

IROQUOIS

Ever Disciplined

LastModifiedDate

08/11/2010