ANGELA R MOORE Nursing Home Administrator License verification

Business Entity

CANCELLED

License Type

Nursing Home Administrator

Description

LICENSED NURSING HOME ADMINISTRATOR TEMPORARY

License Number

045004435

License Status

CANCELLED

Business

First Name

ANGELA

Middle

Last Name

MOORE

Business Name

ANGELA R MOORE

Original Issue Date

05/10/2022

Effective Date

01/24/2024

Expiration Date

01/24/2025

City

CEDAR HILL, MO 63016

State

Zip

63016

Ever Disciplined

LastModifiedDate

05/10/2022