PHILLIP M MOREAU Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****77

License Status

INACTIVE

Business

First Name

PHILLIP M

Last Name

MOREAU

Business Name

PHILLIP M MOREAU

Original Issue Date

08/22/2011

Effective Date

08/19/2020

Expiration Date

05/31/2022

City

ARLINGTON HEIGHTS

State

Zip

60004

County

DUPAGE

Ever Disciplined

LastModifiedDate

08/14/2020