ALEXANDER GRANDT Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****82

License Status

INACTIVE

Business

First Name

ALEXANDER

Last Name

GRANDT

Business Name

ALEXANDER GRANDT

Original Issue Date

10/20/2006

Effective Date

03/27/2024

Expiration Date

05/31/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/04/2024