JACQUELYN A GRAVES Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041145616

License Status

NOT RENEWED

Business

First Name

JACQUELYN A

Last Name

GRAVES

Business Name

JACQUELYN A GRAVES

Original Issue Date

11/03/1972

Effective Date

11/03/1972

Expiration Date

05/31/1990

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/27/2006