KENNETH MICHAEL GREEN - Nursing Home Administrator License in Wisconsin | # 044010940

KENNETH MICHAEL GREEN

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010940

License Status

NOT RENEWED

Business

N

First Name

KENNETH

Middle

MICHAEL

Last Name

GREEN

Business Name

KENNETH MICHAEL GREEN

Original Issue Date

01/14/2013

Effective Date

12/01/2015

Expiration Date

11/30/2017

State

WI

Ever Disciplined

N

LastModifiedDate

01/04/2018