BRENDA K GRISSOM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043061410

License Status

NOT RENEWED

Business

First Name

BRENDA K

Last Name

GRISSOM

Business Name

BRENDA K GRISSOM

Original Issue Date

06/27/1985

Effective Date

03/07/2001

Expiration Date

01/31/2001

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/15/2005