QUEENESTER B GRAY HIGHTOWER Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****58

License Status

INACTIVE

Business

First Name

QUEENESTER

Middle

Last Name

GRAY HIGHTOWER

Business Name

QUEENESTER B GRAY HIGHTOWER

Original Issue Date

08/02/2018

Effective Date

08/02/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60657

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

05/31/2018