OCTAVIA GREEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043116496

License Status

NOT RENEWED

Business

First Name

OCTAVIA

Last Name

GREEN

Business Name

OCTAVIA GREEN

Original Issue Date

02/20/2013

Effective Date

01/31/2019

Expiration Date

01/31/2021

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Ever Disciplined

LastModifiedDate

03/11/2021