GRACE A GUM - Registered Nurse License in Illinois | # 043122734

GRACE A GUM

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043122734

License Status

NOT RENEWED

Business

N

First Name

GRACE

Middle

A

Last Name

GUM

Business Name

GRACE A GUM

Original Issue Date

07/27/2016

Effective Date

01/03/2017

Expiration Date

01/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

03/28/2019