ANTOINETTE GREEN Advanced Practice Nurse License verification

Business Entity

INOPERATIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****48

License Status

INOPERATIVE

Business

First Name

ANTOINETTE

Last Name

GREEN

Business Name

ANTOINETTE GREEN

Original Issue Date

08/02/2011

Effective Date

04/24/2012

Expiration Date

05/31/2014

City

UNION GROVE

State

Zip

53182

County

LAKE

Ever Disciplined

LastModifiedDate

04/23/2012