E JOSEPHINE GRISSOM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043009757

License Status

INACTIVE

Business

First Name

E JOSEPHINE

Last Name

GRISSOM

Business Name

E JOSEPHINE GRISSOM

Original Issue Date

04/03/1961

Expiration Date

01/31/1985

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

10/21/2005