IDA MAE GRADDY Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043025585

License Status

INACTIVE

Business

First Name

IDA MAE

Last Name

GRADDY

Business Name

IDA MAE GRADDY

Original Issue Date

10/28/1969

Effective Date

10/26/2000

Expiration Date

01/31/2001

City

CARMI

State

Zip

62821

County

WHITE

Ever Disciplined

LastModifiedDate

10/15/2005