ROBERTA L MOSS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041107792

License Status

NOT RENEWED

Business

First Name

ROBERTA L

Last Name

MOSS

Business Name

ROBERTA L MOSS

Original Issue Date

11/13/1963

Effective Date

11/13/1963

Expiration Date

05/31/1984

City

E. PEORIA

State

Zip

61611

County

PEORIA

Ever Disciplined

LastModifiedDate

09/27/2006