JACQUELINE M MOORE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041217857

License Status

NOT RENEWED

Business

First Name

JACQUELINE M

Last Name

MOORE

Business Name

JACQUELINE M MOORE

Original Issue Date

11/08/1983

Effective Date

06/04/2018

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/14/2021