TIMOTHY J GRAHAM Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209003519

License Status

NOT RENEWED

Business

First Name

TIMOTHY J

Last Name

GRAHAM

Business Name

TIMOTHY J GRAHAM

Original Issue Date

08/07/2001

Effective Date

04/15/2014

Expiration Date

05/31/2016

City

MANCHESTER

State

Zip

63021

County

MISSOURI

Ever Disciplined

LastModifiedDate

07/11/2016