AMANDA L GROGAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043110364

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

GROGAN

Business Name

AMANDA L GROGAN

Original Issue Date

05/18/2010

Effective Date

12/29/2016

Expiration Date

01/31/2019

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

03/28/2019