IDA MAE GREEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043065624

License Status

NOT RENEWED

Business

First Name

IDA MAE

Last Name

GREEN

Business Name

IDA MAE GREEN

Original Issue Date

01/16/1988

Effective Date

02/04/2019

Expiration Date

01/31/2021

City

INDIANAPOLIS

State

Zip

46268

County

INDIANA

Ever Disciplined

LastModifiedDate

03/11/2021