MARTHA A GREEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041129258

License Status

NOT RENEWED

Business

First Name

MARTHA A

Last Name

GREEN

Business Name

MARTHA A GREEN

Original Issue Date

12/04/1968

Effective Date

03/19/2012

Expiration Date

05/31/2014

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

07/03/2014