MICHAEL J MOLDENHAUER Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****04

License Status

NOT RENEWED

Business

First Name

MICHAEL J

Last Name

MOLDENHAUER

Business Name

MICHAEL J MOLDENHAUER

Original Issue Date

10/11/2012

Effective Date

10/11/2012

Expiration Date

05/31/2014

City

PERRYVILLE

State

Zip

63775

Ever Disciplined

LastModifiedDate

07/03/2014