JUANITA MOORE

Business Entity
NOT RENEWED

Registered Nurse

LICENSED PRACTICAL NURSE

043024920

NOT RENEWED

N

JUANITA

MOORE

JUANITA MOORE

04/01/1969

01/31/1995

MAYWOOD

IL

60153

COOK

Y

10/21/2005

1991001103

Revocation

03/29/1994

Practiced as a registered nurse using the name and stolen license of another individual.