GEORGENE GRACIOUS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041170578

License Status

INACTIVE

Business

First Name

GEORGENE

Last Name

GRACIOUS

Business Name

GEORGENE GRACIOUS

Original Issue Date

11/01/1976

Effective Date

03/19/2010

Expiration Date

05/31/2012

City

GLEN ELLYN

State

Zip

60137

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/08/2012