LISA A GREEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043067130

License Status

NOT RENEWED

Business

First Name

LISA A

Last Name

GREEN

Business Name

LISA A GREEN

Original Issue Date

06/09/1989

Effective Date

01/31/2005

Expiration Date

01/31/2007

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

03/16/2007