IDA MAE GREEN - Registered Nurse License in Indiana | # 043065624

IDA MAE GREEN

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043065624

License Status

NOT RENEWED

Business

N

First Name

IDA MAE

Last Name

GREEN

Business Name

IDA MAE GREEN

Original Issue Date

01/16/1988

Effective Date

02/04/2019

Expiration Date

01/31/2021

State

IN

Ever Disciplined

N

LastModifiedDate

03/11/2021