MARILYN A GREEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041186329

License Status

NOT RENEWED

Business

First Name

MARILYN A

Last Name

GREEN

Business Name

MARILYN A GREEN

Original Issue Date

12/12/1978

Effective Date

05/29/2014

Expiration Date

05/31/2016

City

MASCOUTAH

State

Zip

62258

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/11/2016