FANNIE M MOORE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041088579

License Status

INACTIVE

Business

First Name

FANNIE M

Last Name

MOORE

Business Name

FANNIE M MOORE

Original Issue Date

11/19/1957

Effective Date

03/22/2010

Expiration Date

05/31/2012

City

ELMWOOD

State

Zip

61529

County

PEORIA

Ever Disciplined

LastModifiedDate

03/08/2012