HATTIE MAE HART MOSS Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043031893

License Status

INACTIVE

Business

First Name

HATTIE

Middle

MAE HART

Last Name

MOSS

Business Name

HATTIE MAE HART MOSS

Original Issue Date

12/13/1972

Effective Date

01/20/2009

Expiration Date

01/31/2011

City

CHICAGO

State

Zip

60653

County

COOK

Ever Disciplined

LastModifiedDate

11/03/2010