WILLIE MAE GRAYNED Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043012749

License Status

INACTIVE

Business

First Name

WILLIE MAE

Last Name

GRAYNED

Business Name

WILLIE MAE GRAYNED

Original Issue Date

12/17/1964

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005