MARIBETH LIEZL GRIM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041407059

License Status

NOT RENEWED

Business

First Name

MARIBETH

Middle

LIEZL

Last Name

GRIM

Business Name

MARIBETH LIEZL GRIM

Original Issue Date

11/07/2012

Effective Date

04/09/2014

Expiration Date

05/31/2016

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

09/07/2016

Case Number

2015003061

Action

Suspension

Discipline Start Date

08/31/2016

Discipline Reason

for diversion of controlled substances from a facility in the state of Illinois.