SHANTAE NICOLE GREEN RAHEEM Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043087060

License Status

NOT RENEWED

Business

First Name

SHANTAE

Middle

NICOLE

Last Name

GREEN RAHEEM

Business Name

SHANTAE NICOLE GREEN RAHEEM

Original Issue Date

01/31/2002

Effective Date

01/10/2005

Expiration Date

01/31/2007

City

COUNTRY CLUB HILLS

State

Zip

60478

Ever Disciplined

LastModifiedDate

03/16/2007