PATRICIA J GRAMS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043014620

License Status

NOT RENEWED

Business

First Name

PATRICIA J

Last Name

GRAMS

Business Name

PATRICIA J GRAMS

Original Issue Date

05/02/1966

Effective Date

03/04/2003

Expiration Date

01/31/2003

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/15/2005