GRACE KATHRYN VANDIVER Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041522534

License Status

NOT RENEWED

Business

First Name

GRACE

Middle

KATHRYN

Last Name

VANDIVER

Business Name

GRACE KATHRYN VANDIVER

Original Issue Date

03/11/2022

Effective Date

03/11/2022

Expiration Date

06/30/2024

City

ROCKFORD

State

Zip

61107

Ever Disciplined

LastModifiedDate

02/05/2025