GEOFFREY A GROSS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041373425

License Status

NOT RENEWED

Business

First Name

GEOFFREY

Middle

Last Name

GROSS

Business Name

GEOFFREY A GROSS

Original Issue Date

01/07/2009

Effective Date

05/30/2014

Expiration Date

05/31/2016

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/11/2016