MARY A MOORE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041109448

License Status

NOT RENEWED

Business

First Name

MARY A

Last Name

MOORE

Business Name

MARY A MOORE

Original Issue Date

04/01/1964

Effective Date

07/15/2022

Expiration Date

06/30/2024

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

02/05/2025