BIRTHE SAMS MOE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041142028

License Status

NOT RENEWED

Business

First Name

BIRTHE SAMS

Last Name

MOE

Business Name

BIRTHE SAMS MOE

Original Issue Date

11/09/1971

Effective Date

11/09/1971

Expiration Date

05/31/1994

City

WATSEKA

State

Zip

60970

County

IROQUOIS

Ever Disciplined

LastModifiedDate

09/27/2006