NICOLE M MOORE Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****80

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

MOORE

Business Name

NICOLE M MOORE

Original Issue Date

09/06/2016

Effective Date

09/06/2016

Expiration Date

05/31/2018

City

CALEDONIA

State

Zip

61011

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/19/2018