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.