License holder summary

Stacy R Grissom is a Licensed Practical Nurse licensed to practice in Indiana. The address on file for Stacy R Grissom is Hobart IN 46342. This nurse license is current. The license was granted 10/16/2006 and expired on 10/31/2016.

Indiana

State Board of Nursing

Stacy R Grissom
Licensed Practical Nurse
License number
27058411A
Date granted
10/16/2006
Date expires
10/31/2016
Class
Licensed Practical Nurse
Status
Active
Address
Hobart IN 46342
nursingindiana.org
ID 6499682
LAST UPDATED 2024-02-24 20:11:36 UTC

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