JACK KYZER GRIMES Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041540500

License Status

ACTIVE

Business

First Name

JACK

Middle

KYZER

Last Name

GRIMES

Business Name

JACK KYZER GRIMES

Original Issue Date

03/27/2023

Effective Date

03/21/2026

Expiration Date

05/31/2028

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

03/21/2026