KELLEY CLARK MOORE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041280800

License Status

NOT RENEWED

Business

First Name

KELLEY CLARK

Last Name

MOORE

Business Name

KELLEY CLARK MOORE

Original Issue Date

04/20/1994

Effective Date

04/20/1994

Expiration Date

05/31/1996

City

SCOTT AFB

State

Zip

62225

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/27/2006