JODY K MOODIE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****51

License Status

NOT RENEWED

Business

First Name

JODY K

Last Name

MOODIE

Business Name

JODY K MOODIE

Original Issue Date

02/04/2002

Effective Date

04/18/2012

Expiration Date

05/31/2014

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

07/03/2014