KEITH A GROSSMAN Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043059498

License Status

ACTIVE

Business

First Name

KEITH A

Last Name

GROSSMAN

Business Name

KEITH A GROSSMAN

Original Issue Date

07/25/1984

Effective Date

03/31/2025

Expiration Date

01/31/2027

City

STERLING

State

Zip

61081

County

WHITESIDE

Ever Disciplined

LastModifiedDate

03/31/2025