License holder summary

JACQUELINE S. GROSSMAN is a Nursing - Licensed Practical Nurse licensed to practice in Maine. The address on file for JACQUELINE S. GROSSMAN is 1390 SURREY PARK DR, PORT ORANGE, FL 32128-3764. This licensed professional license is not current. The license was granted 04/18/1966 and expired on 12/02/1993.

Maine

Office of Professional and Occupational Regulation

JACQUELINE S. GROSSMAN
Nursing - Licensed Practical Nurse
License number
LPN1405
Date granted
04/18/1966
Date expires
12/02/1993
Class
Nursing - Licensed Practical Nurse
Status
Inactive
Address
1390 SURREY PARK DR, PORT ORANGE, FL 32128-3764
mainelicensing.org
ID 21250674
LAST UPDATED 2024-03-07 10:01:49 UTC

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