TIFFANY A GREEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041366033

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

Last Name

GREEN

Business Name

TIFFANY A GREEN

Original Issue Date

02/14/2008

Effective Date

04/26/2018

Expiration Date

09/30/2020

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

01/14/2021