CHASTIDY B GREEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043100527

License Status

NOT RENEWED

Business

First Name

CHASTIDY

Middle

Last Name

GREEN

Business Name

CHASTIDY B GREEN

Original Issue Date

10/03/2005

Effective Date

10/03/2005

Expiration Date

01/31/2007

City

COLFAX

State

Zip

61728

County

MCLEAN

Ever Disciplined

LastModifiedDate

03/16/2007