GRACIE LEE MOMAN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041122180

License Status

NOT RENEWED

Business

First Name

GRACIE LEE

Last Name

MOMAN

Business Name

GRACIE LEE MOMAN

Original Issue Date

08/21/1967

Effective Date

08/21/1967

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006