STACEY D GRAV Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041297948

License Status

NOT RENEWED

Business

First Name

STACEY D

Last Name

GRAV

Business Name

STACEY D GRAV

Original Issue Date

07/25/1996

Effective Date

07/25/1996

Expiration Date

05/31/2004

City

FLAT ROCK

State

Zip

62427

County

CRAWFORD

Ever Disciplined

LastModifiedDate

10/09/2006