SANDRA JEANA GREEN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043029358

License Status

INACTIVE

Business

First Name

SANDRA JEANA

Last Name

GREEN

Business Name

SANDRA JEANA GREEN

Original Issue Date

11/01/1971

Effective Date

01/24/2017

Expiration Date

01/31/2019

City

OCONOMOWOC

State

Zip

53066

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/14/2018