THERESA ELLEN MOEN Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041312904

License Status

NOT RENEWED

Business

First Name

THERESA

Middle

ELLEN

Last Name

MOEN

Business Name

THERESA ELLEN MOEN

Original Issue Date

01/14/1999

Effective Date

05/29/2020

Expiration Date

08/31/2022

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

10/14/2022