JULI M DEGRAVE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****63

License Status

NOT RENEWED

Business

First Name

JULI

Middle

Last Name

DEGRAVE

Business Name

JULI M DEGRAVE

Original Issue Date

09/26/2018

Effective Date

09/26/2018

Expiration Date

09/30/2020

City

GURNEE

State

Zip

60031

County

LAKE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021