MARY SUSAN MOORE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041107658

License Status

INACTIVE

Business

First Name

MARY

Middle

SUSAN

Last Name

MOORE

Business Name

MARY SUSAN MOORE

Original Issue Date

11/13/1963

Effective Date

03/17/2010

Expiration Date

05/31/2012

City

JOLIET

State

Zip

60431

County

WILL

Ever Disciplined

LastModifiedDate

03/08/2012