DAVID M GRAZAITIS Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****94

License Status

NOT RENEWED

Business

First Name

DAVID M

Last Name

GRAZAITIS

Business Name

DAVID M GRAZAITIS

Original Issue Date

09/29/2009

Effective Date

09/28/2020

Expiration Date

08/31/2022

City

SULLIVAN

State

Zip

63080

County

EDGAR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/14/2022