LAURA J GRUBB Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****36

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

Last Name

GRUBB

Business Name

LAURA J GRUBB

Original Issue Date

03/14/2017

Effective Date

08/20/2022

Expiration Date

06/30/2024

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025