KELLY S GRANTHAM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041498158

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

GRANTHAM

Business Name

KELLY S GRANTHAM

Original Issue Date

07/30/2020

Effective Date

06/01/2022

Expiration Date

06/30/2024

City

CHAMPAIGN

State

Zip

61820

Ever Disciplined

LastModifiedDate

02/05/2025