CHRISTOPHER MICHAEL GREEN Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045003894

License Status

CANCELLED

Business

First Name

CHRISTOPHER

Middle

MICHAEL

Last Name

GREEN

Business Name

CHRISTOPHER MICHAEL GREEN

Original Issue Date

10/20/2015

Effective Date

10/20/2015

Expiration Date

10/20/2016

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/20/2015