STACEY D GRAV Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043076347

License Status

NOT RENEWED

Business

First Name

STACEY D

Last Name

GRAV

Business Name

STACEY D GRAV

Original Issue Date

10/13/1994

Expiration Date

01/31/1997

City

MEROM

State

Zip

47861

Ever Disciplined

LastModifiedDate

10/21/2005