KIMBERLY I GRANA Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****58

License Status

INOPERATIVE

Business

First Name

KIMBERLY

Middle

Last Name

GRANA

Business Name

KIMBERLY I GRANA

Original Issue Date

02/08/2016

Effective Date

04/01/2020

Expiration Date

05/31/2022

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/02/2022