PHYLLIS J MOORE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043014506

License Status

NOT RENEWED

Business

First Name

PHYLLIS J

Last Name

MOORE

Business Name

PHYLLIS J MOORE

Original Issue Date

02/02/1966

Effective Date

11/29/2012

Expiration Date

01/31/2015

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

03/09/2015