SANDRA K GREEN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043039705

License Status

INACTIVE

Business

First Name

SANDRA K

Last Name

GREEN

Business Name

SANDRA K GREEN

Original Issue Date

06/11/1976

Effective Date

01/22/2003

Expiration Date

01/31/2003

City

EAST ST LOUIS

State

Zip

62204

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/15/2005