KRYSTLE M GRAHAM Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****75

License Status

ACTIVE

Business

First Name

KRYSTLE

Middle

Last Name

GRAHAM

Business Name

KRYSTLE M GRAHAM

Original Issue Date

11/15/2021

Effective Date

05/22/2024

Expiration Date

05/31/2026

City

CHICAGO

State

Zip

60617

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026