STEPHANIE P GREEN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209017535

License Status

INACTIVE

Business

First Name

STEPHANIE

Middle

Last Name

GREEN

Business Name

STEPHANIE P GREEN

Original Issue Date

04/24/2018

Effective Date

08/24/2020

Expiration Date

05/31/2022

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

07/01/2025