JENIFER L GREEN Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****53

License Status

NOT RENEWED

Business

First Name

JENIFER

Middle

Last Name

GREEN

Business Name

JENIFER L GREEN

Original Issue Date

09/26/2007

Effective Date

03/22/2012

Expiration Date

05/31/2014

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

07/03/2014