STEPHANIE P GREEN Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****90

License Status

INACTIVE

Business

First Name

STEPHANIE

Middle

Last Name

GREEN

Business Name

STEPHANIE P GREEN

Original Issue Date

09/17/2018

Effective Date

08/24/2020

Expiration Date

05/31/2022

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

08/24/2020