KENNETH MICHAEL GREEN Nursing Home Administrator License verification

Business Entity

NOT RENEWED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR

License Number

044010940

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

MICHAEL

Last Name

GREEN

Business Name

KENNETH MICHAEL GREEN

Original Issue Date

01/14/2013

Effective Date

12/01/2015

Expiration Date

11/30/2017

City

BRISTOL

State

Zip

53104

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/04/2018