SUSAN KAY MOORE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041133795

License Status

NOT RENEWED

Business

First Name

SUSAN KAY

Last Name

MOORE

Business Name

SUSAN KAY MOORE

Original Issue Date

11/26/1969

Effective Date

05/03/2010

Expiration Date

05/31/2012

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/10/2012