LYNNETE M GREEN Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003094

License Status

NOT RENEWED

Business

First Name

LYNNETE

Middle

Last Name

GREEN

Business Name

LYNNETE M GREEN

Original Issue Date

08/25/2005

Effective Date

08/25/2005

Expiration Date

08/25/2006

City

DECATUR

State

Zip

62522

County

MACON

Specialty/Qualifier

NON LIMITED

Ever Disciplined

LastModifiedDate

08/25/2005