| Name | EVA GRANT |
| City/State |
| License and Registration Information | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Credential | License Type | Original Issue | Issue Date | Expiration Date | Status | Discipline | How issued | Description | |||||||
| IP.407257-ENDS | Practical Nurse - Temporary Work Permit | 03/26/2004 | 09/26/2004 | APPLICATION INCOMPLETE | |||||||||||
| PN.115545-MEDS | Licensed Practical Nurse - MEDS | 07/07/2004 | 08/14/2006 | 08/31/2008 | LAPSED | Endorsement | |||||||||