MARTHA J MOORE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043031816

License Status

INACTIVE

Business

First Name

MARTHA J

Last Name

MOORE

Business Name

MARTHA J MOORE

Original Issue Date

11/15/1972

Effective Date

11/17/2004

Expiration Date

01/31/2007

City

KEWANEE

State

Zip

61443

County

HENRY

Ever Disciplined

LastModifiedDate

11/03/2006