KEITH W GREEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043066470

License Status

NOT RENEWED

Business

First Name

KEITH W

Last Name

GREEN

Business Name

KEITH W GREEN

Original Issue Date

12/27/1988

Expiration Date

01/31/1991

City

GOLCONDA

State

Zip

62938

County

POPE

Ever Disciplined

LastModifiedDate

10/21/2005