JUSTIN M MOFFITT Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041403955

License Status

NOT RENEWED

Business

First Name

JUSTIN

Middle

Last Name

MOFFITT

Business Name

JUSTIN M MOFFITT

Original Issue Date

07/30/2012

Effective Date

05/13/2016

Expiration Date

05/31/2018

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/19/2018