JESSIE MAE SMITH GREEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043050017

License Status

NOT RENEWED

Business

First Name

JESSIE MAE SMITH

Last Name

GREEN

Business Name

JESSIE MAE SMITH GREEN

Original Issue Date

11/17/1980

Expiration Date

01/31/1987

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/21/2005