CHRISTINE M GREENE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****96

License Status

INACTIVE

Business

First Name

CHRISTINE

Middle

Last Name

GREENE

Business Name

CHRISTINE M GREENE

Original Issue Date

11/24/2004

Effective Date

04/20/2020

Expiration Date

05/31/2022

City

PEORIA

State

Zip

61602

County

PEORIA

Ever Disciplined

LastModifiedDate

04/20/2020