SUSAN K GRAY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****65

License Status

ACTIVE

Business

First Name

SUSAN

Middle

Last Name

GRAY

Business Name

SUSAN K GRAY

Original Issue Date

03/27/2003

Effective Date

05/20/2024

Expiration Date

05/31/2026

City

ONARGA

State

Zip

60955

County

IROQUOIS

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026