SHELLEY A GRANTHAM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041212702

License Status

INACTIVE

Business

First Name

SHELLEY A

Last Name

GRANTHAM

Business Name

SHELLEY A GRANTHAM

Original Issue Date

11/04/1982

Effective Date

05/24/2022

Expiration Date

06/30/2024

City

HILLSBORO

State

Zip

62049

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

07/17/2024