VICKY LEE GRONEWOLD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041162609

License Status

NOT RENEWED

Business

First Name

VICKY LEE

Last Name

GRONEWOLD

Business Name

VICKY LEE GRONEWOLD

Original Issue Date

10/24/1975

Effective Date

05/01/2018

Expiration Date

09/30/2020

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

01/14/2021