KRISTIN ELIZABETH GROSSMAN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****08

License Status

NOT RENEWED

Business

First Name

KRISTIN

Middle

ELIZABETH

Last Name

GROSSMAN

Business Name

KRISTIN ELIZABETH GROSSMAN

Original Issue Date

04/18/2018

Effective Date

07/11/2022

Expiration Date

06/30/2024

City

ST LOUIS

State

Zip

63126

County

MONROE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025