NameELIZABETH P GREEN
City/State

License and Registration Information
CredentialLicense TypeOriginal IssueIssue DateExpiration DateStatusDisciplineHow issuedDescription
MAN.902472- Manicurist 01/01/2000 02/03/1991 01/30/1993 LAPSED
MAN.902472- Manicurist 01/01/2000 02/03/1991 01/30/1993 LAPSED
TC2.01815- Temporary Dialysis Certificate 2 11/13/2004 11/13/2004 04/12/2005 EXPIRED
TC2.01815- Temporary Dialysis Certificate 2 11/13/2004 11/13/2004 04/12/2005 EXPIRED

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