GUY E MOON Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043014496

License Status

INACTIVE

Business

First Name

GUY E

Last Name

MOON

Business Name

GUY E MOON

Original Issue Date

02/02/1966

Expiration Date

01/31/1985

City

WINTHROP HBR

State

Zip

60096

County

LAKE

Ever Disciplined

LastModifiedDate

10/21/2005