TRAVIS STACY MOOSE Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041428468

License Status

ACTIVE

Business

First Name

TRAVIS

Middle

STACY

Last Name

MOOSE

Business Name

TRAVIS STACY MOOSE

Original Issue Date

03/11/2015

Effective Date

03/21/2026

Expiration Date

05/31/2028

City

CHICAGO

State

Zip

60654

Ever Disciplined

LastModifiedDate

03/21/2026