JACQUELYN SUE MOORE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043046667

License Status

NOT RENEWED

Business

First Name

JACQUELYN SUE

Last Name

MOORE

Business Name

JACQUELYN SUE MOORE

Original Issue Date

01/26/1979

Effective Date

12/06/2010

Expiration Date

01/31/2013

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

03/20/2013