MILDRED C MOSS Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043016479

License Status

NOT RENEWED

Business

First Name

MILDRED C

Last Name

MOSS

Business Name

MILDRED C MOSS

Original Issue Date

10/06/1966

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/21/2005