CASSIDY GRAHAM Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****72

License Status

ACTIVE

Business

First Name

CASSIDY

Last Name

GRAHAM

Business Name

CASSIDY GRAHAM

Original Issue Date

08/13/2024

Effective Date

03/04/2026

Expiration Date

05/31/2028

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/04/2026