EILEEN S GRACE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041190253

License Status

NOT RENEWED

Business

First Name

EILEEN S

Last Name

GRACE

Business Name

EILEEN S GRACE

Original Issue Date

10/17/1979

Effective Date

05/14/2018

Expiration Date

09/30/2020

City

PORT WASHINGTON

State

Zip

53074

County

LAKE

Ever Disciplined

LastModifiedDate

01/14/2021