GREGORY W GREEN Nursing Home Administrator License verification

Business Entity

ACTIVE

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044006365

License Status

ACTIVE

Business

First Name

GREGORY

Middle

Last Name

GREEN

Business Name

GREGORY W GREEN

Original Issue Date

11/30/2004

Effective Date

11/24/2025

Expiration Date

11/30/2027

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

11/24/2025