GRACE A GUM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043122734

License Status

NOT RENEWED

Business

First Name

GRACE

Middle

Last Name

GUM

Business Name

GRACE A GUM

Original Issue Date

07/27/2016

Effective Date

01/03/2017

Expiration Date

01/31/2019

City

SHERMAN

State

Zip

62684

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/28/2019