FRED A GREEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041214925

License Status

NOT RENEWED

Business

First Name

FRED

Middle

Last Name

GREEN

Business Name

FRED A GREEN

Original Issue Date

12/07/1982

Effective Date

05/21/2010

Expiration Date

05/31/2012

City

SYRACUSE

State

Zip

13203

County

NEW YORK

Ever Disciplined

LastModifiedDate

07/10/2012