AUTUMN R GRISSOM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043090171

License Status

NOT RENEWED

Business

First Name

AUTUMN

Middle

Last Name

GRISSOM

Business Name

AUTUMN R GRISSOM

Original Issue Date

09/07/2004

Effective Date

04/23/2021

Expiration Date

05/31/2021

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

06/30/2023

Case Number

2019010054

Action

Suspension

Discipline Start Date

06/23/2023

Discipline Reason

licensed practical nurse license indefinitely suspended due to unprofessional conduct and failure to report.