SALLY JO GRAVERSEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043037655

License Status

NOT RENEWED

Business

First Name

SALLY JO

Last Name

GRAVERSEN

Business Name

SALLY JO GRAVERSEN

Original Issue Date

10/08/1975

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/21/2005