GLENDA R MOORE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041102377

License Status

NOT RENEWED

Business

First Name

GLENDA R

Last Name

MOORE

Business Name

GLENDA R MOORE

Original Issue Date

04/02/1962

Effective Date

04/29/2010

Expiration Date

05/31/2012

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

07/10/2012