SHAYLON CARLENE GRANT Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****77

License Status

NOT RENEWED

Business

First Name

SHAYLON

Middle

CARLENE

Last Name

GRANT

Business Name

SHAYLON CARLENE GRANT

Original Issue Date

11/20/2013

Effective Date

04/30/2018

Expiration Date

09/30/2020

City

DECATUR

State

Zip

62521

County

MACON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021