MARY A GREEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043037513

License Status

NOT RENEWED

Business

First Name

MARY A

Last Name

GREEN

Business Name

MARY A GREEN

Original Issue Date

06/10/1975

Effective Date

03/07/2001

Expiration Date

01/31/2001

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/15/2005

Case Number

1990006901

Action

Probation

Discipline Start Date

02/08/1991

Discipline End Date

06/16/1993

Discipline Reason

Defaulted on Illinois Student Assistance loan.