KEYERA L GROSS Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****76

License Status

ACTIVE

Business

First Name

KEYERA

Middle

Last Name

GROSS

Business Name

KEYERA L GROSS

Original Issue Date

08/25/2025

Effective Date

08/25/2025

Expiration Date

05/31/2026

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026