CARRIE ANNE GREEN Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****19

License Status

ACTIVE

Business

First Name

CARRIE

Middle

ANNE

Last Name

GREEN

Business Name

CARRIE ANNE GREEN

Original Issue Date

03/28/2019

Effective Date

04/02/2024

Expiration Date

05/31/2026

City

MONMOUTH

State

Zip

61462

County

WARREN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026