MELLANIE F GREEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043064233

License Status

NOT RENEWED

Business

First Name

MELLANIE F

Last Name

GREEN

Business Name

MELLANIE F GREEN

Original Issue Date

01/27/1987

Expiration Date

01/31/1989

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

10/21/2005