TIMOTHY MOOTH Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041565708

License Status

ACTIVE

Business

First Name

TIMOTHY

Last Name

MOOTH

Business Name

TIMOTHY MOOTH

Original Issue Date

05/23/2024

Effective Date

05/23/2024

Expiration Date

05/31/2026

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

03/01/2026