DESERA L GROGAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041302234

License Status

NOT RENEWED

Business

First Name

DESERA L

Last Name

GROGAN

Business Name

DESERA L GROGAN

Original Issue Date

03/14/1997

Effective Date

03/27/2020

Expiration Date

09/30/2020

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

01/14/2021