LANEX JOY GRAPE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041410357

License Status

NOT RENEWED

Business

First Name

LANEX

Middle

JOY

Last Name

GRAPE

Business Name

LANEX JOY GRAPE

Original Issue Date

05/03/2013

Effective Date

04/20/2020

Expiration Date

08/31/2022

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

10/14/2022