FRED A GREEN - Nursing Home Administrator License in Illinois | # 044005608

FRED A GREEN

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044005608

License Status

NOT RENEWED

Business

N

First Name

FRED

Middle

A

Last Name

GREEN

Business Name

FRED A GREEN

Original Issue Date

03/02/1999

Effective Date

10/13/2009

Expiration Date

11/30/2011

State

IL

Ever Disciplined

N

LastModifiedDate

01/05/2012