RANDALL J GRAY Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****71

License Status

NOT RENEWED

Business

First Name

RANDALL

Middle

Last Name

GRAY

Business Name

RANDALL J GRAY

Original Issue Date

05/12/2015

Effective Date

11/18/2016

Expiration Date

05/31/2018

City

FLOSSMOOR

State

Zip

60422

County

COOK

Ever Disciplined

LastModifiedDate

07/19/2018