DEBORAH A GREEN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****17

License Status

NOT RENEWED

Business

First Name

DEBORAH A

Last Name

GREEN

Business Name

DEBORAH A GREEN

Original Issue Date

01/26/2006

Effective Date

04/22/2018

Expiration Date

09/30/2020

City

WEST CHICAGO

State

Zip

60185

County

DUPAGE

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2021