MICHAEL A MOULTON Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043052892

License Status

NOT RENEWED

Business

First Name

MICHAEL A

Last Name

MOULTON

Business Name

MICHAEL A MOULTON

Original Issue Date

01/13/1982

Effective Date

01/03/2011

Expiration Date

01/31/2013

City

GLENVIEW

State

Zip

60025

County

COOK

Ever Disciplined

LastModifiedDate

03/20/2013