SUSAN H MOORE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****76

License Status

NOT RENEWED

Business

First Name

SUSAN H

Last Name

MOORE

Business Name

SUSAN H MOORE

Original Issue Date

05/25/2001

Effective Date

03/19/2014

Expiration Date

05/31/2016

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

07/11/2016