SHAUNTE R MOORE Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****29

License Status

INACTIVE

Business

First Name

SHAUNTE

Middle

Last Name

MOORE

Business Name

SHAUNTE R MOORE

Original Issue Date

08/10/2017

Effective Date

09/29/2020

Expiration Date

05/31/2022

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

03/25/2020