LEAH M GRAVESEN 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

LEAH

Middle

Last Name

GRAVESEN

Business Name

LEAH M GRAVESEN

Original Issue Date

02/25/2020

Effective Date

02/25/2020

Expiration Date

09/30/2020

City

LA GRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

03/08/2020