KENNETH RANDALL GRIGSBY Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209022312

License Status

ACTIVE

Business

First Name

KENNETH

Middle

RANDALL

Last Name

GRIGSBY

Business Name

KENNETH RANDALL GRIGSBY

Original Issue Date

10/26/2020

Effective Date

03/25/2026

Expiration Date

05/31/2028

City

TERRE HAUTE

State

Zip

47802

Ever Disciplined

LastModifiedDate

03/25/2026