SHAUNTE R MOORE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209015873

License Status

INACTIVE

Business

First Name

SHAUNTE

Middle

Last Name

MOORE

Business Name

SHAUNTE R MOORE

Original Issue Date

04/12/2017

Effective Date

06/30/2020

Expiration Date

05/31/2022

City

MARYVILLE

State

Zip

62062

County

MADISON

Ever Disciplined

LastModifiedDate

03/25/2020