KEVIN D MOOTH Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041277616

License Status

ACTIVE

Business

First Name

KEVIN D

Last Name

MOOTH

Business Name

KEVIN D MOOTH

Original Issue Date

10/16/1993

Effective Date

03/07/2026

Expiration Date

05/31/2028

City

MACKINAW

State

Zip

61775

County

TAZEWELL

Ever Disciplined

LastModifiedDate

03/07/2026