GREGORY W GREEN Nursing Home Administrator License verification

Business Entity

EXPIRED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045002952

License Status

EXPIRED

Business

First Name

GREGORY

Middle

Last Name

GREEN

Business Name

GREGORY W GREEN

Original Issue Date

06/13/2003

Effective Date

09/23/2004

Expiration Date

06/13/2004

City

FLANAGAN

State

Zip

61740

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

01/04/2018