REBECCA A GREEN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209017149

License Status

INACTIVE

Business

First Name

REBECCA

Middle

Last Name

GREEN

Business Name

REBECCA A GREEN

Original Issue Date

01/18/2018

Effective Date

09/02/2020

Expiration Date

05/31/2022

City

PLEASANT PLAINS

State

Zip

62677

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/02/2020