ELLIOTT A GRACE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043016641

License Status

INACTIVE

Business

First Name

ELLIOTT A

Last Name

GRACE

Business Name

ELLIOTT A GRACE

Original Issue Date

10/06/1966

Expiration Date

01/31/1985

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005