MELODY D MOOBERRY Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041177550

License Status

NOT RENEWED

Business

First Name

MELODY D

Last Name

MOOBERRY

Business Name

MELODY D MOOBERRY

Original Issue Date

10/12/1977

Effective Date

05/19/2022

Expiration Date

06/30/2024

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

02/05/2025

Case Number

2016011485

Action

Suspension

Discipline Start Date

03/05/2017

Discipline End Date

07/17/2017

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 07/18/2017.