KELLY ANN MOORE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209025261

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

ANN

Last Name

MOORE

Business Name

KELLY ANN MOORE

Original Issue Date

06/01/2022

Effective Date

06/01/2022

Expiration Date

06/30/2024

City

BOISE

State

Zip

83702

Ever Disciplined

LastModifiedDate

02/05/2025