LUCILLE GRISSOM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043020455

License Status

NOT RENEWED

Business

First Name

LUCILLE

Last Name

GRISSOM

Business Name

LUCILLE GRISSOM

Effective Date

03/07/2001

Expiration Date

01/31/2001

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/15/2005