GRACE G LARSON Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****79

License Status

NOT RENEWED

Business

First Name

GRACE

Middle

Last Name

LARSON

Business Name

GRACE G LARSON

Original Issue Date

10/06/2014

Effective Date

05/04/2022

Expiration Date

05/31/2020

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2022