MILDRED MOSS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043011077

License Status

INACTIVE

Business

First Name

MILDRED

Last Name

MOSS

Business Name

MILDRED MOSS

Original Issue Date

04/01/1963

City

MACEDONIA

State

Zip

62860

County

HAMILTON

Ever Disciplined

LastModifiedDate

10/21/2005