SIAUW LIN GROTEVANT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041383956

License Status

NOT RENEWED

Business

First Name

SIAUW

Middle

LIN

Last Name

GROTEVANT

Business Name

SIAUW LIN GROTEVANT

Original Issue Date

05/21/2010

Effective Date

04/11/2018

Expiration Date

09/30/2020

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

01/14/2021