HAZEL L GRAPE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041458609

License Status

NOT RENEWED

Business

First Name

HAZEL

Middle

Last Name

GRAPE

Business Name

HAZEL L GRAPE

Original Issue Date

09/26/2017

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

ROUND LAKE

State

Zip

60073

Ever Disciplined

LastModifiedDate

01/14/2021