ANDREA L GREEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043090194

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

Last Name

GREEN

Business Name

ANDREA L GREEN

Original Issue Date

09/10/2004

Effective Date

11/17/2004

Expiration Date

01/31/2007

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

03/16/2007